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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer .,c1 in <br /> connection at the address identified on the enclosed letter. Please help us verify that our % t1-• <br /> information is correct by answering the following questions about your property: ' `it <br /> Do you have a basement? Yes X No ❑ /`,1h <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No X <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ta Don't Kno . ;AI <br /> Do you have a grinder pump in your basement? Yes ❑ No" ] Don't Know ❑ <br /> Name: `-)1.,L11(,,,t.(L c.r- I\ [1. jYL/(- <br /> Property address: r'! Lett I Z1/6ita 4' lA <br /> Phone 1: / � ' i '4Phone 2 j ; ) <br /> Email: .San p1,- `(.4 Ca--' <br /> () (na i I • UM& <br /> C$C4' ,, ._r_,. .. _ , Ili,,, ,a ...-. 3., <br />