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DATE~·/d '''7't.tJ
TOWN OF LEXINGTON-BOARD OF
-SEWER DIYISION
PUBLIC WORKS fl'
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.undersigned applies for the construction of a particular :>ewer eonnecting No.Z U""e,;",=-.'74'¥2 "
Street'and hereby agrees to comply with the Rules and Regulations governing the construction and use of Partienlal·
Sewers,as now or at any future time established by the B0a:r:d of Selectmen.
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Am't.of Estimate $..6~o-w,
Am't.Paid $_Le cdc~J~<h4z--owner
Sketch of Serrlce Here .".•
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1...1.'I I 25,&
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Connection made in Street.
Remarks:
.19Workcompleted_"I•'"
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