Trainor, Micia K.Garage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Fal,ls l e4590
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Name: 19-or
.N-or k0i D ' I V ( c c (A
(Last) (rirst) (MTj
Address: C , Y ._(,l Ayy- (S (f7 t_ t /.Zd
(Street Address)
Wappingers Falls, NY 12590
(City) (5T) (zip)
Phone: ( LL`a) I?q"7 _
Address of Sale:
(If different from above) (street Address)
WM12ingers Falls NY 12590
(c;ty) (ST) (zip)
Date of Sale:. From: until Sp v -)-t
(Day One) (Time Begin) (Time End)
Froin: until
(Day Two) (Time Begin) (Time .End)
From: until
{Day Three) (Time Begin) (Tune End)
r
Sign: Date:. J
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni J
Lynn O'Dell
Cooper M. Leatherwood I I
Date Received: —/—/
Serial #:
\0