Cooper, Jeff Garage Sale Permit Application
"— Return to: Town Clerk
Town of Wappinger
r` 20 Middlebush Rd.
Wappingers Falls,NY 1.2590
Name:
(Last) r / ` ( irst)
Address: 3 U CSI d�Q
(Street Address)
Wappingers Falls,NY 12590
(city) (s'r) (zip)
Phone: / �[�� 27')- �'��.c—
Address of Sale: jo I {
(If different from above) Street Address)
Wavoinaers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: �� �� From: (am/pm) until (am/pm)
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on: K Date: 6- ,-J -� 1-7
FOR INTERNAL USE ONLY
Received by: 1o�seph P. njpu
Grace Robinson E
JUN 5 2017
Date Received: �1 /
TOWN OF 1NAPPINGER
Serial # : TOW CLERK