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TOWN OF LEXINGTON-BOARD OF
SEWER DIYISIONDATE%'1~,1t-zt·"....-'.'...Nb u~.
The undersigned applies for the construction of a particular sewer connecting No..,j-{,fr1 o...cz..q a;..,...
Street and hereby agrees to 'comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any future tUne establishedby the Board of Seleetmim.
Am't.of Estimate $.-..La '!:E
<t't:1Am't.Paid $..\-0 =-
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C(lllIleCtion made in Street.Work completed
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