Rose, SusanrOF WAPp���
Garage
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Name:
Address
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- (Last)%_-- (Fust) (MI)
9 16
(Street Address)
Wgppingers Falls, NY 12590
(City) (ST) (zip)
Address of Sale: f11
(If different from above) (Street Address)
Application
Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
Wappingers Falls, NY 12590
(City) (ST) (zip)
Date of Sale: 36 From: / m until (am4m
( ay One} Time Begin) (Time End)
t From: ? (am/pm) until 3 (am/pm)
(Day Two) (Time Begin) (Time End)
Sign
From: (ani/pm) until (am/pni)
(Time Begin) (Time End)
Date: ? G�
FOR INTERNAL USE ONLY
Received by:
Date Received:
Joseph P. Paoloni
Lori McConologue
SEP 2`7, 2023
Town of Wappinger
Town Clerk