Kessler, Paula (3)
~
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Serial #:
Chris Masterson 0
Christine Fulton )(
SueRo~ 0 0
01 Q:JI'-
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2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Li8ense
FOR INTERNAL USE ONLY
Received by:
Date Received:
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
\ NEW ~RENEW~~
TEMPORARY
(1 weekend only)
license for Hawking and Peddling pursuant to Town of Wappinger Local Law No. 10 of 1992,
regulating Hawkers and Peddlers in the Town of Wappinger, and in connection with such
application, does state the following:
1) Applicant:
NAME: Po.-ula J ke-ss/e-f{ AGE: ,58
C~~1ADDA-slL- If-Nfrels H,'LL Rd ~J,~)
6. (St #) (Street) (City) (State) (ZlP) .
(;;J L- kERMANE~J\J?Q~SS (if different)/, I/.
CJ ) -.JdCfB~~~4Yo/I' ~/;.J ;V! /2-SftJ
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Employer: / /1.
Applicant's Employer n _ rl
Address of Employer '
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment (attach to application)
Tape a 2"X 2"
color photo (less
than 60 days Old)
I'
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2) Nature of Business:
!to f do 6- ViLl1do 5l!t .
r.:r -( wtt , "-Ie\.
~ Motor Vehicle. ~circle one): car . truck van flu ~ #0 f d~ flZf)il(J~.
o On Foot &/or wIth veh.cle drawn hy hand or anunal J " -2 o::J lIi'i or ",,,j
Vehicle Info: Vehicle Make 01.000 !Vt6SCLI'") Vehicle Model Que" f ~ A 13 4/ J.. ~ (p
License Plate # /::>P t!- 77 ~ I State of Registration /\ly,
Operator's License Number g-J;:lf 7" q 3 (, 1
o Weights & Measures Certificate Certificate #
a Dutchess County Health Dept Permit Permit #
3) Veteran Status
o Veteran Applicant - Exempt from license fee (attach certificate from Dutchess County)
2010-01-15 JCM
Names of all other municipalities in which the applicant has been a vendor in the preceding 6
months: () ) A .
!
4) Compliance
That the applicant, if the License requested hereby is granted, consents and agrees to conduct the
aforesaid business or activity pursuant to all of the terms and regulations of the Local Law above
specified, and all other rules, regulations and Laws governing ones activities in the Town of
Wappinger as a Peddler or Hawker.
Dated: ~ q ,20/0
Wappi ers Falls, N.Y.
~'~
re of Applicant
'"
Sworn to before me this
MICHELLE CHIUMENTO
No. 01 CH6165603
Notary Public, State of New York
Qualifted in Dutchess 'f:1jrtJ Ii J
My Commission Expires ~
*
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is a non-refundable fee.
Applicants possessing a valid Dutchess County Veterans Vendors License are exempt from
the $200.00 fee, provided that a copy of said license is attached to the application.
*
",......
Town of Wappinger
20 Middlebush Rd
Wappingers Falls, NY 12590
(845) 297-5771
RECEIPT
#39181
07/09/2010
Kessler, Paula J
206 All Angels Hill Rd
Wappingers Falls, NY 12590
Received $ 200.00 for Peddlers Permit, on 07/09/2010. Thank you for stopping by the
Town Clerk's office.
As always, it is our pleasure to serve you.
John C. Masterson
Town Clerk
License No. __2________
Town Clerk's Office
TOWN OF WAPPINGER
VENDOR9S LICENSE
Pt W.pping." Fd\" N: Y.~ _____~'9
O~--~ ____having paId $___dOO________________
ishereby licensed as a peddler in the streets of the Town of Wappinger unti~ q--~'p
~ With Motor Vehicle 0 On foot or Hand Drawn Vehicle
o Animal Drawn Vehide ___ G -G~-_---_-----
V- Town Clerk
Q/,)IO . _ ~~
J . AII/V/l;" J ~~ j'til
~ ~~Uhjl'- -
f1. . ~bi_j~ to t:trtifp !bat
~ -----'(lQj.~a . ~51 e:.R...
;It ---
l ha been Licensed for ----
~, VENDING
I~ tn tfJt. ~ptun of llJapPingtr
~ f~g20lQto q2JJ1I
I No. L :. -
: Own Clerk
"
TOWN CLERK
Chris Masterson
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
WWW.TOWNOFWAPP1NGER.US
(845) 297-4158 - Main
(845) 297-5771 - Direct
(845) 298-]478 - Fax
TOWN SUPERVISOR
Christopher 1. Colsey
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czamiecki
Joseph P. Paoloni
Office of the Town Clerk
July 9,2010
To:
From:
Re:
Barbara Roberti
John C. Masterson
Peddler's License Application- Paula J. Kessler
We have received an application for Renewal of a Peddler's License from Paula J.
Kessler to operate a hot dog business on the intersection of Middlebush Road and Old
Route 9, Wappingers Falls, NY.
Please review the attached application and return to this office with your
recommendation.
1 C. Masterson
own Clerk
JCM/cf
II NEW YORK STATE DEPARTMENT OF HEALTH
Bureau of Community Environmental Health and Food Protection
Food Service Establishment Inspection Report II
Address: TN/C
ESTABLISHMENT NAME: G,(( f\(Yl A ~ Sri i
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TIME BEGAN
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OPERATOR'S NAME:' ,., i.,
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County: ~~.7 S
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,)\(',>,>1" "
Zip Code:
i2'7t:j' u
FACILITY CODE
TIME END
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Office Code:
[ill]
r. r 2-
(jl)' f)i /7
',- '- -' I
I SUBPART 14-1
D,t.otS'N'ce I ~ I I ~31 rn
Inspector's ID:
COMPLAINT 0 FIELD VISIT 0 ~
INCIDENT 0 ILLNESS 0 ~
Capacity
P/ I
o:rrn
Operation ID:
I 0117/ 41 01 &1 ~ I
Service Type:
INSPECTION Il PRE-OPERATIONAL 0
REINSPECTION 0 HACCP ONLY 0
hr hr
1AO 1BO 1CO 100 1EO 1FO 1GO 2AO 2BO 2CO 200 2EO
SAO SBO scO 500 SEO 6AO 6BO 7CO 700 7EO 7FO
--- -------------------------
------
8AO 8BO 8CO 800 8EO 8FO 8GO 9CO 900 10AO 10BO
12AO 12BO 12CO 1200 12EO 13AO 13BO 14AO 14BO 14CO 1SAO 15BO 15CO
Number of Red Violations r:::-r-::l
Found ~
Total Red Violations rQ"f:l
Not Corrected LLJ
Number of Blue Violations ~
Found L.L:J
Reinspection 0
Required
.
Yes
No
Reinspection 0
Field Visit 0
Sampling 0
Meeting 0
Month Day Year Service By (Inspector ID):
Date OJ OJ OJ OJ]]]]
Future Service (Office Use Only):
ttem Number
CorrectonsNiolations
1
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44142
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II
II OOH-192 (10/05)