Policano, Jodi Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: PL'.a. 0/0 •
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Address: , c� e
(Street A r s)
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Wappingers Falls, NY 12590
(City/) (ST) (Zip)
SqPhone:
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Address of Sale: -,c,14,-o
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Wappingers Falls, NY_ 12590
(City) (ST) (zip)
Date of Sale: 7 From: am rn) until (am m}
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Sign: ---------------------------------------------
Date: C� -U
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni D
Grace Robinson
Date Received:
Serial #:
a
NU 2 0 2017
TOWN OF WAPPINGER
TOWN CLERK