Roys, Kevin m,
uarage Sale Permit Application
,r Return to: Town Clerk
.,� Town of Wappinger
�.,.., 20 t+iddlcbush Rd.
Wappingers Falls,NY 12590
Namce
Address: �®lam
.tree .��c ressJ
Wappingers Falls,NY 12590
(City) (ST) (lip)
Address of Sale:
(If different from above) (Slrect�1 cases)
MVp 11 s Falls„ NY 12590
(C.uy{ (S1r) (zip)
Date of Sale: 10 6 'I �" From: � atn m)u11ti1 � (am��)
( )ay C)ne) {Tnsse sin) (""i�rame EnEnt1�
From: ant pm) until 4 0 (a' pm
'wv) ( senaBegin) ( Tams.End)
From: (am/pm) until (am/prn)
(Time Begin) (Time lin
Sign: Date: 10"C
FOR INTERN L,USE ONLY
Received by Joseph.F. Paoloni U
Grace Robinson I 1
Daae Received: 0 /
Serial ##:
ED
?HJT 22 2018
TOWN OF WAPPINGER
CLERKTOWN