Pollock, Susan J. Garage Sale Permit Applicatiol
Return to: Town Gerk
' Town of Wappinlger
20 Middlebush Rd,
Wappin-ers Falls,NY 12590
SU-So n
( as4j arst} {fVC
Address: i .,
Streit,Ad dTrss)
Wap_pinaers Falls.NY 12590
(Ciiy) (ST) (Zip)
Address of Sale: LIS ki- I bro kri m
(If different frorn above) ( treei Address)
Wappingers Falls,YY 12590
(City) (S ) (Zip)
.Date of Sale: � ( y From' rn a m) until (a.ep
a ne)� (TimeBe-in) ime End)
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Sign: Date:
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FCR INTERNAL USE ONLY
Received by: Joseph P. Pa.oloril D
Grace: Robinson ll
Dae, Received: f
Serial 9:
ticT
1 02 2018
MON OF WAPPINGER
TOWN CLERK