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t 'Ad4ress 12 Bedt'ord StreetJ
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f Material A-'OUBt ToW Date ,Amount
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"$t~N OF LEXINGTON -'-BOARD OF PUBLIC WORKS
DATE 0~~2--'!J 'J 1.'\SEWER DIYI.tON.NO_~.-;-_
The C~ed applies for the construction of a particular sewer c(}nneeting No.t..P ~e-t(A ...1 A
Street and hereby agrees to comply with the Rules and Regulations g(}Vel"Ding the eonst;u'ction and Use of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
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.Am't.ofEstimate $J-tI..ro
Am't.Paid $_
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oil'.~0 J"....~-'~r;d
I Sket~h of Service Here •-,
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Connootion made in Street.
Remarks:
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W01~kcompleted 19 •