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Address
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TOWN OF LEXINGTON-BOARD OF PUBLIC WOR'KS
WATER DIVISION
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The und"l'sign"d applks for a supply of water at K o.~,.3·,£1-".~r~./~7'St.and h€l'eby agr"es to
comply with the rules and regulations as now,or at any fu ture time,establisM'd by the Board of Selectmen,
Am't.of Estimate S /S-O"''ller ~t::~
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Connection made in Street.
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