Toribio, John M. Uarage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
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f n A Wappingers Falls,NY 12590
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Name: nkio Jr�
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Address: 433 A 11
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(street ress)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Phone: (NS ) �iq _ 7302
Address of Sale:
(If different from above) (Street Address)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: G From: ar pm)until (am/0)
Day One) (Time Beam) (Time n )
05b 1A From: 10 �*pm)until s (am/0
(DayTwo) -(Time earn) 7 T ime rn T)-
From: (am/pm)until (am/pm)
(Day Three) ime Be-,in) (Time
Sign: Date:
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Grace Robinson IF cc 1710
Date Received:
APR 2 7 2016
Serial#:
WAPPINGER
'OWN CLERK
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