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BACKWATER°PREVENTION DE'VIeE PROGRAM <br /> Our records indicate that a backwater preventi'oWdevice 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 1No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes"kNo ❑ <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 ❑ <br /> Name: 1/4.1 1 'T\ Law Q..flQ L <br /> Property address: t t41 �N C v-erc <br /> ti— <br /> Phone 1: ` 1c 1 1— t 1-Phone 2: <br /> Email: ` �.�4.I �� LA.G. • 1 1 V 6 t C. <br /> .,.,4 xk.a A <br />