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Date MMerlal Ammmt Total Date Am,,_
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i :J;- -TOWN OF LEXINGTON -BOARD OF PUBLIC W~RK~'...Z -.
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!dt:T c _-__oEWER DIVISIONDATE:z2l:~.....;,./9J2-..~NO.
bo_=----,_of~ed applies for the ~truetion of a particular sewer connecting No..d.'R-2--c rr (2-£c
Street and herehy agrees to comply with the Rules and Regulations governing the construction and use of Partieu1ar
Sewers,as now or at any future time established by the Baard of Selectmen.
Am't.of Estimate $,_
Am't.Paid $~
Sketch of Service Here
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Connection made in Street.
Remarks:
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War};completed--'-_19
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