Bordaniro, Dennisf�pF;WAFA'y��e
is Garage
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Name:,; �' �� ��';1w�
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Address: '-{'4 � 0'��r U--�
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W j)pingers Falls, NY 12590
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Phone: qa
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Application
Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
Waners Falls, NY_ 12590
(city) (sT) C7;r?
E�� 1'I L�
MAR 10 2021
TOWN OF WAPPINGER
Towm ri
Date of Sale: d From: (9 (ai pm) until { (am
qty a me egul Crime y
)y i From- 9 ( r pm) until q 000
(Day wo ime ejm 'lane End)
From: (am/pm) until (am/pni)
. a Iree 'lme Beg�u Me n
Sign: Date:
-- ..""j — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
FOR 1NTFRNAL USE ONLY
Received by: Joseph P. Paoloni L
Grace Robinson ❑
Date Received: I I
Serial #: