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HomeMy WebLinkAboutBLUEBERRY LN 2Name Address Kind of Pipe Size Location h~~~11$d by a$valop&~ Service No. Siseof Main Location Date Material Amount Total Date Amount TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE .............•.......•..NO . The undersigned applies for the construction of a particular sewer connecting No..................•....... Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular Sewers,as now or at any future time established by the Board of Selectmen. Am't of estimate $. Am't Paid $, . ."Owner Sketch of Service Here I I 1 I 1 I , I .-J_I_'_I_'_I_I_lI I , I , I I I I I I I I I I II I I I I I I ,I I 1 , I I , I I I I I , I I , ! I ! , I I , I I I I I ,!I , 1 I 1 , I I , I , , I I I I !I I I I !I , , I I I I I I_l_'_l,-f--;--;--;--I , I I , I I I I I , I I I I II , , , I , I I I I I I I I I I I I I II I ,1--1-1 I I I I , I I I I I !1 , !I I I I I , I I I I,I ,II I, , , !I I I I I I I I I I I I I I I I I , I I I I I I_I , Connection made in Street. Remarks: Work completed .... . . . . . . . . . ...19..