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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
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The undersigned applies fOl'a supply of water at No,~~//r/rtee /St,and hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of Selectmen,
Am't,of Estimate $_Owner ~"';f'-O<L__~~_,_
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Connection made in 57 Street.Work eompleteJi __'_
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