Lamando, Ed A. ( Garaget Application
Return to: Town Clerk
Town of Wappiner
20 Middlebush Rd.
Wappingers Falls, NY 12590
Name: _ _._
(Last) (First) ((MI)
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/ (Street,address)
'1rVapp�ia ers Falls, NY 12590
(City) (SI') (zip)
Address of Sale: ,.,
(If different from above) (Street Address)
Wappingers Falls, NY 12590
(City) (S'T) (dip)
Date; of Sale: � From: ®�
(am/pm)until # (am/pm)
(Day one) (Tnnj-End)
(am/pm) until (am/prn)
(Day Two) (Time Begin) (Time End)
._._..__.__From: _ (am/pm) until_ (am/pm)
(Day Three) (Tune Begin) (Time End)
Slf;n�- ;�°' � Date;
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FOR INTERNAL USE ONLY
Received by: Joseph P. f colon � �E lJ LL'
Grace; Robinson
Date Received: / /
Serial #. rl l,/