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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DlYISION
DATE NO -:--_
The undersigned applies for the construction of a particular sewer connecting ~o.~9er cI'~
Street and hereby agrees to comply with the Rules and Regulations governing the construction and'l:siOi Particular
Sewers,as now or at any future time established by the Board of Selectmen.
~.-...~9'"1
Arn't.of Estimate $ _
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19Workcompleted.
Sketch of Service Here 2 =w
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.M~I."I...",10V - !II
,.ff c.',.
_Owner
Arn't.Paid $_
Connection made in Street.
Remarks:e-"~'c::..d.~-;-,;;",,,~,_'_.~...:.-~_~~•..,"~_,~,~-_.~~"......:.....L"""":::...;,~-"'__~"""~"-"___,w?-£e-]"j L"-~,~..:~..........._;_~"j.-'"-<~-~-;~-".rl--"j_.-lWi~--.4~~}-d