Patterson, Lisa r
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Garage Sale Permit Application
Return to: Town Clerk
pp�
Town of Wa mger
20 Middlebush Rd.
Wappingers Falls,NY 12590
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Name: �p!1 T`�RSO� Lt 5
-(Last) (First)
Address: S�
(StreetAddress)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Phone: (8`1'5) ag' _ a 1°l Qo
Address of Sale:
(If different from above) (Street A ress)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: l�( l From: ari/pm)until (am4R)
ay one) (Time Begin) ( ime n
From: (am/pm)until (am/pm)
ay wo ime Begin) ime n
From: (am/pm)until (am/pm)
ay ree Em e- egm) Mme n
Sign:
------------------------------------------------
FOR INTERNAL USE ONLY
Received by: Joseph P.Paoloni ❑
Grace Robinson ❑ MID �� D
Date Received:
`EP 12 2016
Serial#: TOW
OF WAPPINGER
TOWN CLERK