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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 /> Do you have a basement? Yes VI No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes g No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No X Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: k4 <br /> Property address: la G . CI I MA Cit, , <br /> Phone 1: t-A, - 1S 11-t hone 2: ii n <br /> Email: G S +N Gy- <br /> � _ � , .. •_. tt� .41 Atli._._ 1 . ,. �s <br />