Farrell, Carol G. ` Permit
Garage dale P Application
Return to: Town Cleric
Town of Wappinger
- 20 Middlebush Rd,
Wappingers Falls,NY 12590
Name: Fo_rreA l
Address: `7 l AY-)q
(Street Ad dr�
Wappingers Falls,NY 12590
(City) (5T) (Zip)
Phone:
Address of Sale:
(If different from above) ( trees Address)
Wappingers Falls_,NY 12590
(City) (ST) (Zip)
Date-of Sale: 02f 1 From, `1 (am/pm) until - J� (am/pm)
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From: q (am/pm) until � (axe/pm)
ma7ay
11Z5 f From: ! (am/pxn) until 5 (am/pm)
( ay r' ) (TimeBegin) —(Time End)
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Sib: Date: 71 I
------------------------------------------------
FOR INTERNAL USE ONLY
Received by: Totseph P. Paoloni J
Grace Robinson ❑ J U L 19 2018
Date Received: 1 / TO N OF WAPPINGER
TOWN. CLF.P"%
Serial #: