Pomplas, Leeann Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
,f 20 Middlebush Rd.
Wappingers Falls, NY 12590
Name: bN,�'l
Address: �'l'o�'�t ' W .
(StreetAddress)
Wappingers Falls, NY 12590
(City) - - (ST) (zip)
Phone:
Address of Sale: _ t `
(If different from above) �+ (street Address)
Wa in ers Falls,NY 12590
(City) (sT) (Zip)
Date of Sale: -7113 From: a /pm)until (amo
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Sign: Date: /
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FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Grace Robinson C)
Date Received: I I
Serial##:
G�I�C�C��ICD
JUL 0 8 2019
TOWN OF WAPPINGER