Copper, Jeff Garage Sale Permit Application
` Return to: Town Clerk
-" Town of Wappinger
20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: �,
(Lim tt first) (MI)
Address: (Street`-7 �gi / C/,
Address)
Wappingers Falls,NY 12590
(City) (ST) G (Zip)
Phone: A�- /')
Address of Sale: 'Fc
(If different from above) (Street Address)
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: A) From: 9 --�" as pm) until 3 (am m)
ayOne) imeBegin) (Time End)
a
From: l (a pm) until (am m)
(Day wo) 1me egm ime n
From: (am/pm)until (am/pm)
(Day eBegin)ree) ( im ( ime En
Si / Date: '2- C '/C
/--------- -j -------------------------------
FOR INTERNAL USE ONLY
Received by: Joseph P.Paoloni ❑
Grace Robinson ❑
Date Received: / / r1 � EVED
Serial#: SEP 26 2016
TOWN OF WAPPINGER
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TOWN CL.FRK