Longworth, Dawn 11 Garage Sale Permit Application
j Return to: Town Clerk
' Town of Wa in
pPer g
20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: --�� sT
(Last) First 1
Address:
—street Address)
Wappingers Falls,NY 12590
(City)_ _(ST) (Zip)
Phone:
Address of Sale:
(If different from above) (Street Address)
Wappingers Falls NY 12590
(City) (ST) (Zip)
Date of Sale: -7 1 l b From: (am/pm) until (am/pm)
(DayOne) ( ime egm Time End)
1 O i l b From: (am/pm)until 3 (am/pm)
ay wo ime Gegen (Timms
From: (am/pm) until (am/pm)
)/,,,ay Three) (Time Beginime n
Sign: �J Z�/_ Date: 7L �l K�
--------�--- --------------------------------
FOR INTERNAL USE ONLY
Received by: Joseph P.Paoloni ❑
Grace Robinson ❑
Date Received:
Serial#: v
L 0 8 2016
TOWN OF WAPPINGER
TOWN CLERK