de-Vries, Maragret �v
Garage Permit Application
Return to: Town Clerk
Town of W appinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
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Wappingers Falls NY 12590
(City) (ST) (Zip) , UA_ 2 3 2029
Phone: a -rOWN F WAPPINGFr
Address of Sale:
(If different from above) (street Address)
Wappingers Falls, NY 12590
(City) (ST) (Zip,)
Tate of Sale: - 29 From: _ _ � (ai pm)until (am/pin)
(Day tine) (Time Begin) (Tide End)
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-- (4rom: __ as Jpm) until (am/pm)
(Day Two) (Time Begin) ('rime End)
_ _From: (amlpm) until (am/pm)
(Day Three) (Time Begin) (Time End)
Sign: r ate: ,1„ ._ .
FOR INTERNAL USE ONLY
Received by:. Joseph P. Paoloni
Chace Rubinson
Date Received:
Serial #: