Martin, Jean Garage Sale Permit
g Application
Return to: Town Clerk
Town of Wappinger
` 20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: A a r 41,111 T f& M
(Last) ( first)
Address: .B ra0 k a�') X 6L,
(Street Address)
Wappingers Falls,NY 12590
(City) (ST) (zip)
Phone: (,y9 - 7591-3
Address of Sale:
(If different from above) (Street Address)
Wappingers Falls,NY 12590
(City) (ST) (zip)
Date of Sale: 544 • 0 9//6 From: q.'a 0 (am/pm)until (am/pm)
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Sign: �.��' /''' Date: _7Ze /
------------------------------------------------
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Grace Robinson
Date Received:
Serial#:
GIC�EMLD
JUL 06 2016
TOWN OF WAPPINGER
TOWN CLERK