Pollock, Susan J. Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
_ 20 Middlebush Rd.
Wappingers Falls, NY 12590
Name: PC)1 SQ' Sa4--) -j
(Last)
(First) (Mi)
Address: a 5C11 6�5 R C
(Street Address)
Wappingers Falls,NY 12590
(city) (ST) (zip)
Phone: (Q l q)2q0 - 35_j
Address of Sale:
(If different from above) (Street Address)
Wappingers Falls,NY 12590
(city) (ST) (zip)
Date of Sale: 10 I Cf From: + (@Vpm) until (am/0
(Day One) (Time Begin) ('Gime End)
From: (am/pm) until (am/pm)
(Day Two) (Time Begin) (Time End)
From: (am/pm) until (am/pm)
(Day Three) (Time Begin) (Time End)
Sign: QJ—Lack Date: ) C7 1 q
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FOR INTERNAL USE ONLY
Received by: IV-1-0 seph P. Paoloni
Date Received: L(0/ 1
Serial #: 4