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HF-9694 I --I ;1 I-I,----,--
TOWN OF LEXI NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
MY.6./997."."..',DATE,'.',J"'".NO.
The undersigned applies for the construction of a particular sewer connecting No", , ' , . , . , , , ' , , , , , , . , . , ,....
Street and hereby agrees 10 comply with the Rules and Regulations goYerning the corlstruction 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 0 Sketch of Service Here 410 ,,!..3'"~,,
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I I I I I I \ 1 1 1 1 1 1 I I I I i I ] I i I 1-91 I~.'&1 .r;I I I I I
i I I I I I I I I I I I I I I I ] I Iii I I I T I'"....11"11111
1 I I 1 I I I I I I I I I I I I I I I I I I I I I I L II I I I I
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..1 I I I I I I
i I I I I I 1 I I I I I I ] I I 1 1 1 I oN..L,1.J L 1/I I I
1 I I I I I I , I I I I , I I I I I I I I I 1 1 I 1 I r~I'IiiI i I I I I I I I I II LA[:£E.I I ~nl'-l~I I I I I I I 1 I ]~I
Connection made in,..,~,~~,!-!!tf£..,..Street.
Remarks:
~97-1
Work completed,.~lfy.,f),.,.",.1997
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