Roys, Kevin Garage Sale Permit Application
4 r ey 1 r r Uervi,Y,�( t Return toTown Clerk
aYa� TGbvn ofWappinger
01!w1iddlebush Rd.
Wappingers Falls, NY 12590
Name:
(I:..ast) (first) ('krr)
Address: `
�v._....__
)Kap 2gers Falls. NY 12590
(City) t 'r'1 (zip)
Address of Sale:
(If different from above) (Street Address) _.._.....
a) suers Falls, NY 12590
(City) (,s'r)�
� )stc) , (ffv m) iinttl `4'1ate c 'Sale: ' Flem:
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mant/
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From: (am/pm) until (am/pm)
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From: ___.(aln/pm) until (am/prn)
(Day Three) isle Bugrai)
Sn_ Date:
FOR INTERNAL USE ONLY
Received by: Joseph R Paoloni
Grace Robinson I_
Date Received:
Serial
MAY 19 2017
TOWN OF WAPPINGER
CLERKTOWN