Antalek, StaceyGarage Sale Permit Application
Return to: Town Clerk
Name: 104 V -
(Last) (First) (Mn
Address: ] e)
(Street Address)
Wappingers Falls, NY 12590
(City) (ST) (Zip)
Phone: 5 - 3S.
Address of Saler 61 SCI
(If different from above) (Street Address)
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
_Wappingers Falls, NY 12590
(City) (ST) (Zip)
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Date of Sale: oj-- fnl;2Ua,�> From: a (&m' ) until 5 (am/Cm
(Day One) (Time Begin) (Time End)
[ �f /1/&Z a-) From:' aOpm) until S (a pm
(Day Two) (Time Begin) (Time End)
From: (am/pm) until (am/pm)
(Day Three) (Time Begin) (Tirane End)
Sign: a�LkDate: NO 04/V. 3
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lynn O'Dell
Date Received: 1 /
Serial #;