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J <br /> 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 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes [v]"No ❑ <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 V <br /> Name: DAB / 5111AV 0NEi yaNj.S <br /> q <br /> Property address: i (6 R114 AVEAii16 <br /> Phone 1: 2 C 3 O0 g6a/ , ,/UPhone 2: ZS 741 6 0737 <br /> S l <br /> Email: (O,JNe l/(01/�C J <br />