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TOWN OF
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LEXINGTON-BOARD OF
'\0='SEWER DIYISION
DATE <;,~...o,\"I~NO~'-'-'-~----:.
The undersigned applies for the construction of a particular sewer oonneeting No.S,\\...,c....~-r Bu..
Street and hereby agrees to comply with the Rules and Regulations governfug the construction and use of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't.of Estimate $'eo .-
Am't.Paid $'$0 ,-
Sketeh of Service Here
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Connection made in Street.
Remarks:0 '<"~'j ;N ~,5 e...1/;ce.·,a,-I2.·,-=27
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Work eornpJetlld 19
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