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TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
SEWER DIVISION
DA
~dersigned(:?lPliesfor the Construction of a particuIar sewer connecting No./~~4'1 ..t<::J...
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 time established by the Board of Selectmen.
Am't.of Estimate $/6=a .Q:!-
Am't.Paid $_~b~-
Sketch of Service Here
Owner
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19Workcompleted_
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Conneetion made in Street.
Remarks:
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