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The undersigned applies for the oonstruction of a particular sewer conheeting No.'-·W«'~:s-t=~·_-~-
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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Am't.of Estimate $(,,,~.-"T'"~
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""'<.•'""",,'~'~"'e"":.,;r."~,,.'~C"'-\''''''t'.."....>.'A~=>~~'~.,~W~~#:F1ii·~~TO;~:~LEXINGTON-!30ARD •.'F i"UBUC ,,!ORK:'~'.:":ft~"
.~~._SEWER DIVISION '1.1..4
DATE 19 '96 ,',,1.',.7]"61 NO,
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Am't.Paid $_0J;t-~"..__,'~er
~,of Service Here 2 2.2 •,
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Connection made in Street.
Remarks:
Work completed _19
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