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HomeMy WebLinkAboutGRANT ST 53__._......__......__S.~rYic~....N9.!.~.....3 0 ~"~,,~-~.~---~---e Name -..--------..-.-.-.-.. ___Add,..e~s...Q.s,Gr:QL)i.Qi~ ---._-~<_._..-.~-,."'~-~._--_..._-'.....-. ....tQ~/J,JJ9Jl.J..3'~4!ni d£eeL. Size of-Main ·_.-"_,~__......·_~_'·."""._.m"·.··.···",,.,.,-.._·••~·_,·....'"_"""_,._._.~__~~_~~,_Size__--!!l\d ~t~!p~. ___-"R""'e»ab:~.eJ1ewal~N.ewSe.n1~JL .L9~~t!ml...___ Date r Ma.';ial r A';;unt l =1 Total 11=D.t~'1 ~l-'=t=Am.~. I ..·e ~§ i-R--......-..... cl-;::r--"'-'".....~.I--j.--'-.•.••_+--- ...+_...'"----- ~- ..~-.+...j..J.!.... .-+..>-...~.~~.--+-.----- 4-----.... £ ___-+1_--__-+..La_b_or _..~-~-.-.-..-+... -../.----..+---I I I I I I '. TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS SEWER DIVISION I DATE jNO.__,,--_ The undersigned applies for the construction of a particular sewer connecting No.,~..3 G;P/7z'cf/. 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 I ~f~,~e(etch of ervice Here //i\ If //\ Iii /'1/ i I ItA.1.7 \ ~,KJ'[7 I~'rl VI~rt V"~...v f,V / /~ V l /j.,.."'"if'V C1-c.:"lfoi""i/,IV1/ Connection made in ---'-_Street. Remarks: Work completed _19