Wiedemann, Lawrence Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 1.2590
(Last) (First)�4 T
Address: 04')V) p� C,1 r
t et )
Wappingers Falls. NY 12590
(City) (ST) (zip)
Phone: LCC7 _ 6,
Address of Sale:
(If different from above) trt cess
Wa ,min ers Falls NY 12590
(City) (ST) (zip)
Date of Sale: Ca,iAkfi- Zck From: `-,3 'oo aT m until 6 (ar
ay One) ae .egtn I� ( —m eEnid)
From.: (am/pm) until (am/pm)
( ay wGa -Min—ie Begin) (Time .,n
-TuFrom: (am/pm) until (arn/pm)
ay �e�) ime earn ( nn®T"
Sign. ` Date:
------------------------------------------------
FDR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Grace Robinson ❑
Date Received:
Serial #:
Hol III
0 C T 0 1 2018
TOWN OF INGE
WN CLERK