Cotter, Diana Garage Sale Permit Application
Return to: Town Clerk
Town of W appinger
20 Middlebush Rd.
-T_ 'Wappingers Falls,NY 12590
Name:
_CEO) ,rst
Address:
Wanningo Falls NY 12590
( ) (KI) (Zip)
Phone: S152V� - %54 .
Address of Sale:
(If different from above} s
Wappingers Falls NY 12590
city tsI7 (�P)
Date of Safe: 12-31 �� From: q (aypm)until ' 1 (anv m}
WY — =c Ew
2� 1$ From: 9 &pm)until (am�s
MY V-) 7une mae
Y From: (am/pm)until a (am/pm)
R
Sign:
Date: l� i-Z}I 1
FOR INTERNAL,USE ONLY
Received by: Joseph P.Paoloni ❑
Grace Robinson ❑
Date Received. I_I HEMMED
Serial #: JUN 13 2018
TOWN OF WAPPINGEI
TOWN CLERIC