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Garage Sale Permit Application
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Return to: Town Clerk
Town of Wappinger
` 20 Middlebush Rd.
c Wappingers Falls,NY 12590
Name: k4000f�
(Last) (I-first) (MI)
Address: -bCA Voy-C
(Street 3ress)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Phone: g3-9-
Address of Sale: A MVICr �d►�Q,
(If different from above) (Street Address)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: db-`� 1Co From: (am/pm)until A X:O (am/pm)
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Sign: a d LP--) Date:
------------------------------------------------
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Gro E C�C 2��vnE D
Grace Robinson ❑
Date Received: —/ / JUN 16 2016
Serial#: TOWN OF WAPPINGER
TOWN CLERK