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BACKWATER PREVENTION DEVICE PROGRAM <br /> Ourrecords 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 No j <br /> Do you have a backwater valve on your sewer line? Yes L No F Don't Know C <br /> Doyou have a grinder pump in your basement? Yes H No Don't Know <br /> Name: (2fe - L 9 e:/(:) <br /> Property address: /' <br /> Phone I: "°d' Phone 2':; 9 3 .A *,") <br /> Email: C. <br />