Dauzat, Regina Garage Sale Permit Application
i Return to: Town Clerk
i
Town of Wappinger
_......_._'. 20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: O U��L' f,�>`nt Lu-e l f 1\
(Last first)r l
Address: �o �`;�ld'��D`�t �j' 11 1'>" 1� v5( %U
(StreetAddress)
Wappinaers Falls,NY 12590
(City) (ST) (Zip)
Phone: (Tib �•`►`� _ jlT �
Address of Sale: � '�A�
(If different from above) ( treet Address)
Wappingers Falls.NY 12590
(City) (ST) (Zip)
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Date of Sale: �'S �ti, From: am pm)until I (am m
ay ne) ( impime n )
From: (a pm) until (am i m
(Day Two) ime egm) ime n
From: (am/pm) until (am/pm)
(Day ee) ( ime Begin) ime n )
S�Sign: G�4 `^'�T) Date:
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(V E O V E D FOR INTERNAL USE ONLY
APR 2 5 2016 Received by: Joseph P.Paoloni ❑
Grace Robinson ❑
TOWN OF WAPPTNGER Date Received:
TOWN CLERK — —
Serial#: