HomeMy WebLinkAboutMASS AVE 214,
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TOWN OF LEXINGTON-BOARD OF
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.SEWER DIVISION
PUBLIC WORKS
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BATe .A~&>./7";·"7·NO._
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The undersigned applies for the construction of a particularsewer,conneetingNo._'-'-_
Street and hereby agrees,to comply with the Rules and Regulations governing the construction and use of Particular
sewers,asnow or at any future time established by the Board of Selectmen.
Arn't.of Estimate $r'-....-
Arn't.Paid $_~_
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_~~Owner
Sketch of Service Here •-~~.
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fl Connection made in -Street'.•-'W~rK eampleted---19
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