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P1at Rate
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TOWN OF
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GTON -BOARD OF'PUBLIC WORKS "~I,.I
'.<t~<~. / .SEWER DIVISION .1
D ....TE~~IF _.]r NO__--,:::_
The underSigned:;::~liesfor the construction of a partieukr sewer connecting N~':llJiJ."'-'~~
__",S,(Jtw>reeet and hereby agrey:to"~ly with the Rnles and Regulations governing the_~truetion.and use ot Partienlar'
Sewers,as now or at any futUre time established by the Board of Seleetmen.
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Connection made in Street.
Remarks:
AIn't.Paid $
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Sketch of Ser ice Here 101 •,..:t'
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