Gallaher, Richard D. Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
` 20 Middlebush Rd.
Wappingers Falls,NY 12590
Name:
(Last) ( first) (MI)
Address: i'S�! t 4 ki-e—
(Atreet Address)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Phone: $ 2c/ - 91q 3 -� .
Address of Sale: 5— N( 5y LG h
(If different from above) ( treet Address)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: 'Z11 7 IP From: Cl /Q/pm)until S (an�p
ay e) ime egm imen
From: (am/pm) until (am/pm)
( ay wo ime egm Mme n )
From: (am/pm) until (am/pm)
(Day Three) ime egm) Mme n )
49
Sign: Date: 1 !S 2-016
FOR INTERNAL USE ONLY
Received by: Joseph P.Paoloni ❑ [RID D
Grace Robinson ❑
Date Received: / / EP 15 2016
Serial#: TOWN OF WAPPINGER
WN CLERK