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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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The unders;gned applies for the consIruction of a particula r 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 fulUre time estabIished by the Board of Selectmen,
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Connection made in,. ,.., , . , ,•.., , . , , . , . , . , . , , . "Streel.
Remarks:
Work completed •.. • • • ••.. • . • ...19••,
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