HomeMy WebLinkAboutFOLLEN RD 181Name Ernest S.Glawson,
Address "'fIII Follen Road
Bridle
Location -,I<j'.'-/f~'
Service No.~9/.y£
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Date
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PUBLlCDA:E~'\!~l\t>S'L
TOWN OF LEXINGTON-BOARD OF
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?-~"l.~'/;3v .y..'y
/3"WATER DIVISION
The undersigned applies for a supply of water at No.7a\h....~c St.and hereby agrees to
comply "ith the rules and l'egubtions as now,or at any future time,establis d by the Board of Selectmen.
Am't.of Estimate $,3 f:2.)
Am't.Paid $_
Owner
Address
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Remarks:
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19Workcompleted~_
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S!<leteh of Service Here
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r 20·8 Street.Connection made in
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