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~~:,~.-.~..~--~.F',.4 TOWN OF LEXINGTON-BOARD OF
It:__00 DATE-SEWER DfYISION NO _
,The undersigned applies for the construetion of a partieuiar Sewer connecting No•.212/~£f.4#--tr
Street and hereby agrees to_comply with the Rules and Reglliations governin~the constructiOn and use of Particular
Sewers,as now or lit any future time establisned by the l:klard of Selectmen.
AIn't.of Estimate $_
AIn't.Paid $_
_Owner
Sketch of Service Here 2 03
'1,.,.,
JI-'T......'.....I,Connecti~made in Street.'Work completed 19,,j
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