Segur, Carol G. Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
` 20 Mi.ddlebush Rd.
Wappingers Falls,NY 12590
Name: U r l:0 rb .
(Last trst}
Address: qa-3 611 "f`Ih F?1 ,s
treet Gress)
Wappingers Falls,NY 12590 Y* lIaa 6sz
(City) (ST) (Zig) J
Phone: Al - � 5-59
Address of Sale:
(If different from above) (Street Address)
Wappingers Falls NY 12590
(city) (ST) (Zig)
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Sign.: �W1D 1. � �� Date: b
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FOR INTERNAL USE ONLY
Received by: 3osepb P. Paoloni 7
Grace Robinson E (J D
Date Received: 1 / 0 C T 13 2016
Serial #: TOWN OF WAPPINGER
TOWN CLERK