Henry, Lisa W. Garage Sale Permit Application
Return to: Town Clerk
_.,. Town of Wa roger
pp�
` 20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: �1
t (First )
Address:
(StreetAddress)
Wappingers Falls,NY 12590
/ (City)r` (ST) (Zip)
Phone: (�7�1 �C7-
Address of Sale:
(If different from above) (Street Address)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: a`� From: 9= 0 v (a�,4m)until 1-/r 00 (am/;
ayOne) 1me egm) Mme n )
From: q" 7 Om)until Qm)
ayTwo) imeBegin) ime n
HaTs
laq From: a m)until (am m)
ay Three) g.Qg.�n (Time n
ig 'Nt�' Date:
&I
- ---------------------------------------
FOR INTERNAL USE ONLYLF " EWE D
Received by: Joseph P. Paoloni ❑ MAY 2 3 2016
Grace Robinson ❑
TOWN OF WAPPINGER
Date Received: / / TOWN CLERK
Serial#: