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OF LEXINGTON -BOARD OF PUBLIC
RWER DIVISION
TOWN
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DATE-l /",~<~,-'NO
The de:rsigned applies for the construction of a particular sewer connecting No.I c?-I ~.,,6 e~~.
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewel'S,as now or at any future time established by the Board ofSelectmen.
Am't.of Estimate"@ ~~.
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Work completed .t Connection made in Street.L.Remarks:
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