Morris, Lori, J. _...............
Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
` 20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: I1'l d�r�S �Dfl
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Address: �o UcLc ;c L-GC r'1
( tr et Address)
Wappingers Falls.NY 12590
(City) (ST) (Zip)
Phone: (�V ) °!�
Address of Sale:
(If different from above) (Street Address)
Wappingers Falls.NY 12590
(City) (ST) (Zip)
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Date of Sale: C'� I I(e From: C} 'o Ka/pm) until (amCmi )
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From: (am/pm) until (am/pm)
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From: (am/pm)until (am/pm)
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Sign: Date: 3 /
------------------------------------------------
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Grace Robinson ❑
Date Received:
Serial #:
[ L ` MVEO
SEP 12 2016
`SOWN OF WAPPINGER
TOWN CLERK