Kane, Dara M. Garage Sale Permit Application
Return to: "l'own Clerk
Town of WWppinger
M 20 1`v'iddlel^Ush Rd.
Wappingers Falls, NY 12590
Name: i1r I �am M.
Address: ✓ d 9 _I��1+'
Wanr�iii ers Falls, NY 1.2590
(City) (ST) (Zip)
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Address of Sale: YW/I � rt
(If different from above) (•taco ccress)
Wappingers Falls, NY 12590
(City) + ' (ST) (Zip)
Date of Sale: 0-7/�17 .m..mm From: aanl m) until m_ (am pna)
(Day( " c 1.egin) (Tsin 3}
7 7 e.) ` Fro►n (hnaanal n ) until " (an ftm)
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From (ani imy until (aa /Im)
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Sign: Tate; (. a
FOR INTERNAL, USE ONLY
Received by: Joseph P. Paoloni
Grace Robinson
Tate Receival: 1 /
Serial #:
s
: . 0 2 2011
'TOW N OF AP' GE .
CLERKTOWN