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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. Please help us verify that our <br /> information is correct by answering a following questions about your property: <br /> Do you have a basement? Yes [ No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,€loor drain, tc.)? Yes g. No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know IS <br /> Do you have a grinder pump in your basement? Yes <br /> YYes LI No ❑ Don't Know ff.,Name: I6fe 1._.r <br /> vc) \; <br /> Property address: 1�) \ lr✓`� �"�{ ��� <br /> Phone 1: 1O �\/1 ( /)-\'1 Phone 2: <br /> Email: `) frrt j 0\ b <br /> w"t�-*.n-�. _ '' .�t,fN" .';= ,.�„a,yes tA44 <br /> � � tee. ....,,.. �E.x..:c.. _.�, .. .. _. . .. ,.x <br />