Green, Nathan A. f Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
__.........-. ' 20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: CO p
(cast) (First) (Mi)
Address: S -7 H o rn l 61 r-0 v(-'T-
(Street Address)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Phone: ( qq�—) 37--� - �� a
Address of Sale:
(If different from above) (Street Address)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: l5— From: /pm)until (am/1Q
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(Day Three) tme Begin) (Time En
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sig
Date: f j�
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FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Grace Robinson
Date Received: 4 / ) 0/ )5
Serial#: