Siedlecki, Natalie uarage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
Name: A Q(�'w
(Last) (Fi
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(Street Address)
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Wappingers Falls, NY 12590 11JL 20?0
(City) (ST) (zip)
'rOWN OF WAPPINGFr
Phone: A Ph I f�l r-n 0
Address of Sale:
-
(If different from above) (street Address)
Wappingers Falls, NY 12590
(City) (ST) (zip)
(dnDate of Sale: From: J�pm) until (am/&P
(Day One) ime Begin) (Time End)
From: (aiT, -' m)until .,,4 (am
(Day Two) (Time Begin) (Time Fnd)�
From: (am/pm) until_(am/pm)
(Day Three) (Time Begin) (Time End)
Sine\ Date:
-- ------------------ -- ----------------
FOR INTERNAL USE ONLY
Received by: Joseph P. Paolom
Grace Robinson
Date Received:
Serial