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2O2 ) Low bard Ate- SE <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records.indicate that a backwater prevention device must be installed on the sewer <br /> --eeilbection 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 g No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know�J <br /> Do you have a grinder <br /> pump in your basement? Yes ❑ No ❑ Don't Know <br /> Name: Fe/Lae/Li 6a l J(J <br /> Property address: )Sd/ 9 rex U4. SS ' &rev /Y�os/ <br /> Phone 1:®"t,,.%//' O Phone 2: <br /> Email: ,iJe It./,fir- � <br />