HomeMy WebLinkAboutSOMERSET RD 41Serviee No.
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DAT""E ~-__"._
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No 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 ..
Am't Paid $;..Address .
Builder ...
Sketch of Service Here
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