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Date Material Amount Total Date Amount
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7_::r;n-fiA Labor 6 53 ?--M'df '72.af5.:;?fJ:-f -;rcJ
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1O't 0 H.!Is 7 LB 1#/..(-<9'-/...;?Y?
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(M11 ~Ll 21 g::r;
8-28-1:;"0 T~1?RR
10',(o.H.1 29 'tJ,17 ~'I~~I(to~M~'lIl'1u,L>bS<t.ov :A-
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE..•••••.••.•••.•••.••••••NO.'".•••••.
The undersigned applies for the construction of a particular sewer connecting No .
Street and hereby agrees tc comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any future time establ ished by the Board of Selectman.
Am't of estimate $ .
Am't Paid $,
..............................,...Owner
~itiV VVltrbl.--~JeA;.v
Connection m.ele
Remlrb:
ketch 01 Service H.re
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