Blake, Lauri L. ............
�;- Garage Sala Permit Application
Return to: Town Clerk
Tow of Wappinger
20 Middlebush Rd,
Wappingers Falls, NY 12590
Name: . Loui,Lt
(Last) (Hrst) M
Address: h S h (P- D r.
(street Address)
Wappingers Falls,NY 12590
(City) (S-l') (Zip)
Phone: 4 . ) Q('�- '�D --
Address of Sale: Q ,')h a U r
(If different from above) (Street.Address)
Wapvin ers Falls NY 12.590
(City) (ST) (zip)
Date of Sale: From: a 0 pm) until 0 (am m
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Sign: Fate:
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FOR
--------------- .. __ _ ._. --------------- .. m.FOR INTERNAL USE ONLY
Received by: Joseph P, Paoloni :::1
Grace Robinson
Date Received:
Serial :
FR-) VD
OCT 15 2018
TOWN OF E
WN CI F-