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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
..
NO _
The undersigned applies for the oonstruction of a particular sewer oonnecting No.
Street and hereby agrees to comply with the Rules and Regulations governing the oonstruction and use of Particular
Sewers,as now or at any future time estahlished by the Board of Selectmen.
Am't.of Estimate $,_
Am't.Paid $_
_Owner
Sketch of Service Here A-n •,.e.:9.j
·1,,
de in /~'fF·Street.H~Workcompleted 19
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