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WORKSLEXINGTON-BOARD OF.PUBLIC
SEWER DIVISION
TOWN OF
Trenoh by owner
.
DATE.lrch 28,1\133 NO._
The undersigned applies for the construction of a particular sewer counecting No.lL0 t #,Tower at.
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.
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Arn't.of Estimate $_
Am't.Paid $_c:=i~~l~~:nd
Sketch of Service Here
-c ..«.U Owner
Ave ••Arlington •
Connection made in Street.
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L...::"..'.Remarks......:~.-~~~~_~_--"--'-'-''';'{(~44 ~-:~J.J;;.-i ,,~,;J.J!i':_~-~_~;._j]J~.--,=-.~~L;.,:.;£-:-,~_L:-'..:,';--_,,-
Work completed 19
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