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TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
SEWER DIVISION
~-"",~,--"."....-,~--,","
•
DATE _
The undersigned applies for the construction of a particular sewer conneeting No.¥ZL72"'~eK clr:
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'!.of Estimate $_
Am't.Paid $_
Owner---------
Sketch of Service Here -..7
V "I'--.~19::;I'.
1 ~
Work completed 19Connection~de in Street.
.Remarks:
4>1 -M',·~-·,~'·~""-"_..:_"~,~,_"_,'_'_',,,...,".'_-.v _L~_--,~O~'.~,--'~.~,¥'~~,"'¥-~4-,-:i.0~.~:.=~:..:..:~~11.:.-",,,,~,.,;L_i,~,c~'w.-...'~-:,;,t -·~,;-::~2,,.;,,;#--i?'·5&'+-4 ~"--,,......';~<,i.~,~-c,,~..;:;-.~-~,~;,..,~;;;i,,id,~&JJS,~