Parisella, ReginaName:
Address:
Sale Garage
Permit Application
Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
(Last) (First) (MI)(First) (MI)
4L e
(Street Address)
Wappingers Falls, NY 12590
(City) (ST) (Zip)
Phone: /�
Address of Sale: Jam_-
(If different from above) (street address)
WM12ingers Falls, NY 12590
(City) (ST) (Zip)
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Date of Sale: � t 1 From: (am/pm) until --:5(am/pm)
(04y One) (Tune Begin) (Time End)
From: (am/pni) until (am/pm)
(bay Two) (Time Begin) (Time End)
From: (am/pm) until (am/pm)
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Date: %
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lynn O'Dell
Date Received: I I
Serial #: