Penk, Heinz & Sona Garage Sale Permit Applicati.on
-' Return to: Town Clerk
_ Town of Wappinger
20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: 016—
(Last) irstj (Ml)
Address: -5-f �u[� LAn
�3tree�t A Gress} '
Wappingers Falls,NY_ 12590
(City) (ST) (Zip)
Phone: l SSS') _ - 0Qt2q
Address of Sale: OL JtA 4
(If different from above) (Street A ress)
Wappingers Fails,NY 12590
(City) OT) (Zip)
Date of Sale: „ems � � From: (am/pm) until_(amlpm)
Way Wine) (Time eg�n) 1me n )
S-1,26 From: (am/pm) until (am/pm)
pay wo} t eBegin) (Time End)
6-1,24-1/f From: (am/pm) until OAP (am/pm)
�DII� { a reg} 1me egm) Mme n }
Sigzi: Date:
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-7 FOR INTERNAL USE ONLY
Received by: Jo�cph P. Paoloni D
Grace Robinson
Date Received: 1 1
Serial #: