Montfort, Dawn M. Garage ale Permit Application
- Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
('Last) (First.) (M,1)
Address: "' 9 - 'i , � .5d
(Street.Address)
Wappingers gers Falls, NY 12590
(city) (ST) (Zip)
Phone: C N—) t4&
Address of Sale; :" tC1 t'J
(If different from above) (Street Address)
Wappingers Falls NY 12590
(City) (ST) (Zip)
Date of Sale; 915 From: (ani/pin) until _ (am/pm)
(,Day One) (Trine Begin) (Time;End)
From: _ (a /pin)until " (am/pm)
(Day Two) (Time Begin) (Time End)
From.: —(am/ply)until q (am/pm)
(H ay'luve) (Tune Begin) (Time End)
Sign:r 611— � r Cate: ..
FOR INTERNAL USE ONLY
Received by: Joseph P. Paaloni
Grace Robinson
Cate Received: / f
Serial #:
t1 � / L
"YMN OF PPINCT'
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