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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 the following questions about your property- <br /> WI <br /> Do you have a basement? Yes No F <br /> If yes, does it have plumbing fixtures (sink, toilet,floor drain, etc.)? Yes JK No n <br /> Do you have a backwater valve on your sewer line? Yes [] No Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> R- <br /> Name: <br /> Z2 a, <br /> 3 <br /> Property address: <br /> 2 7 Phone 2'. <br /> Phone 1. <br /> Email: CR V- t� <br />