Young, Bertha M.Z-1
uarage Sale Permit Application
Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
Name:
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(Last) (First) (MI)
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Address: _�)47
"rt Address) �kece
Wgppingers Fa Is, NY 1259,0
(City) (s,r) (zip)
Phone: 707k�
Address of Sale: O+N
(If different from above) (Street Address)
Wgppingers Falls, NY 12590
(City) (ST) (zip)
�? k 67-�j
Date of Sale: From: P until
I(Day0ne) (Time Begin) (Time End)
`�/z_ I From: until qb-
�Daff j (Time Begin) (Time nd)
From: until
(Day Tlirde) (Time Begin) (Time End)
Sign: Date:
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FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 0
Lori McConologue 0
Grace Robinson 1:1
Date Received:
Serial
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