Burnside ConsultingZONING ADMINISTRATOR
Barbara Roberti -Ext. 128
PLANNING BOARD 8~
ZONINGBOARD OF APPEALS
SECRETARY
Susan Dao - Ext 122
CODE ENFORCEMENT OFFICER
Salvatore Morello III - Ext 142
FIRE INSPECTOR
Mark Liebermann - Ext 127
CLERICAL ASSISTANT
Michelle Gale - Ext 123
November 16, 2011
Ms. Christine Fulton, Town Clerk
Town of Wappinger
TOWN OF WAPPINGER
ZONING DEPARTMENT
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
(R45) 297-1373
Fax (R45) 297-0579
www. townofwappinger. us
Re: Application for Hawkers & Peddlers License (new)
Burnside Consulting, Inc., applicant
Dear Ms. Fulton,
SUPERVISOR
Barbara A. Gutzler
TOWN BOAIZD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P.Paolnni
Burnside Consulting, Inc.'s application for a Peddler's License to go door-to-door for the
solicitation of Verizon-Fins has been approved for the following salesperson:
Kellan Mackenzie
Their application meets the criteria set forth in Section 175-12A.of the Code of the Town of
Wappinger. r_____
Very truly yours,
~~ _ -~
~ ,~ ~~ -
'~ ar ara o e
Zoning Administrator
Cc: Town Board Members
file
a~c~~a~ o
NOV j y ?01I
T PTO=JERK ER
I ~-
TOWN CLERK
20 MIDDLEBUSH ROAD
WAPPINGERS PALLS, NY 12590
WVVW.TOWNOF WAPPINGER.US
(845) 297-4158 -Main
(845) 297-577] -Direct
(845) 298-1478 -Fax
TOWN OF WAPPINGER
Office of the Town Clerk
October 27, 2011
To: Barbara Roberti
From: Christine Fulton
Re: Peddler's License Application -Burnside Consulting, Inc
SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
On July 21, 2011 we have received an application for a Peddler's License from Zach
Zeitlini (Burnside Consulting, Inc.) to go Door -to-Door in the Town of Wappinger. In
addition to that application we have received the. attached application on October 27,
2011 to be added under the above permit.
Please review the attached application and return to this office with your
recommendations.
G1.,~~~ ' ~..~
Christine Fulton
Deputy Town Clerk
/cf
ti
FOR INTERNAL USE ONLY
Received by: Chris Masterson "~
Christine Fulton
Sue Rose J
Date Received: / /
Serial #:
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
"I~he undersigned does hereby apply to the Town of Wappinger Town Clerk for a
NE RENEWAL TEMPORARY
(1 weekend only)
license for Hawking and Peddling pursuant to Town of Wappinger Local Law No. ] 0 of 1992,
regulating Hawkers and Peddlers in the Town of Wappinger, and in connection with such
application, does state the following:
1) Applicant:
NAME:~~~ ~ ~.( ; AGE:~e~ Tape a 2"X 2"
n.. Cam:-Ca2~
CURRENT ADDRESS: color photo (less
y ~ p than 60 days Old)
(St #) (Street) ( ty) (State) (Z1P)
PERMANENT ADDRESS (if different):
~' i~ ~ ~
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent r Emplotyer:
Applicant's Employer v/~n5~mt, ,;~~.~ ~'"ti~
Address of Employer ''t2 ~. , ~, ;,~ c LJ ,~ tc, ~ L
(St. #) (Street) (City) (State) (ZIP) ,
Proof of Employment (attach to application)
2) Nra~ure of Busi ess:
~ Motor Vehicle (circle one): ca~ truck van
i On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make T ~ Vehicle Model _CQ,,,,,,~,
License Plate # State of Registrat o~ n
Operator's License Number ~e dal ti93
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
D
3) Veteran Status
!- Veteran Applicant -Exempt from license fee (attach certifies a from Du~~~o6ri~)
TOWN OF WAPPINGER
TOWN CLERK
2010-O1-15 JCM
Names of all other municipalities in which the applicant has been a vendor in the preceding 6
months: ~--
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: p~+c, ~j~. a~ ~" , 20 I I
Wappingers Falls, N.Y.
Sworn to before me this
c~~ day of O~t~,be; 20it
~ ~rll-t5
Notary Public
->=--~
Signature of Applicant
PAUL M MA=MO~h1 ~'
NotaY lubib - #tat~ of l~l~w Yak
NO.OI MAb l bibl b
i-uaittt.a in ~YICtNf C
Mkt ~:011'1f11N~bf1 EiiplfN ~0 "~~„-
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
.. •
rav.anra rows NEW YORK STATE REGISTRATION DOCUMENT
G PAS
FDT2539
1998 TOYOT NONTRANSFERABLE
•4DSD TN 4T1BG22K5WU386085
002950 G 4 FH381414 SEP 17 2010
wus~au sa~ucs' TCA WFL955
expires 0 9 / 16 / 12
FASENNTAO,KAIIMA,M
4 ONEIDA LANE 23.50
WAPPINGERS FLS NY 12590 AIYpUAL CItG
,parr r.~a PKCL ADa tract
F H 3 ~ 1414 YOB IF nLTEREO EXCEPT FOR nooRESS 13 2.0 0
u iii
Fs-zo Phone Number: 1-800-841-3000
~'E~`r~ 9eico.com NEW YORK STATE INSiIRANCE IDENTIFICATION CARD
Policy Number Effective Date Expiration Date
4131-45-62-63 05/28/2011 (12:01 A.M.) 11/28/2011 (12:01 A.M.)
An authorized NEW YORK insurer has issued an Owner's Policy of
Liability Insurance complying with Article 6 (Motor Vehicle Financial (Not acceptable to obtain registration
Security Act) of the NEW YORK Vehicle and Traffic Law to: aher 45 days from effective date.)
FASENNTAO,KAIIMA,M Applicable with respect to the following Motor Vehicle:
4 ONEIDA LN
WAPPINGERSFALLS NY 12590
Name & Address of issuer:
GEICO INDEMNITY COMPANY
One GEICO Plaza,
Washington, DC 20076-0001
1998 TOYOTA CAMRY
Yeaz Make Model
4T1BG22K5 WU386085
Vehicle Identification Number
Company Code: 100
--~rNEW YORK STATE
J
~Cijrg ig ,to~ @CertffY l~at
~ laas been Lfcensed f~ _--- --- _`-
o t~ r e vENDIlv~~
~ ~ ~ ~ ~Go~u~ of ~~~Y~gPr
~ ~ f rorry~ ~ ~- ~ .~ -
~ ------------------------ to _____/ ' l / Z
i. .,~ -
No. ~ ---______
_ :I . ---- ---------
Town ~~C[erlk
ZONING ADMINISTRATOR
Barbara Roberti -Ext. 128
PLANNING BOARD &
ZONINGBOARD OF APPEALS
SECRETARY
Susan Dao - Ext 122
CODE ENFORCEMENT OFFICER
Salvatore Morello III - Ext 142
FIRE INSPECTOR
Mark Lieberrnann - Ext 127
CLERICAL ASSISTANT
Michelle Gale - Ext 123
October 25, 2011
TOWN OF WAPPINGER
ZONING DEPARTMENT
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
(845)297-1373
Fax (845) 297-0579
www. townofwappinger.us
Mr. John C. Masterson, Town Clerk
Town of Wappinger
Re: Apulication for Hawkers & Peddlers License (new)
Burnside Consulting, Inc., applicant
Dear Mr. Masterson,
SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
Burnside Consulting, Inc.'s application for a Peddler's License to go door-to-door for
the solicitation of Verizon-Fios has been approved for the following salesperson:
Kimberly Gallaher
Their application meets the criteria set forth in Section 175-12A.of the Code of the
Town of Wappinger.
Very truly yours,
r
L%~~~~G r
Barbara Roberts
Zoning Administrator
~~C~L~OMGD
OCTr25 2011
TOWN OF WAPPINGER
TOWN CLERK
Cc: Town Board Members
file
TOWN CLERK
Chris Masterson
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY ] 2590
WW W.TOWNOFWAPPINGER.US
(845) 297-4158 -Main
(845) 297-5771 -Direct
(845) 298-] 478 -Fax
TOWN OF WAPPINGER
Office of the Town Clerk
September 30, 2011
To: Barbara Roberti
From: John C. Masterson
Re: Peddler's License Application -Burnside Consulting, Inc
SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
On July 21, 2011 we have received an application for a Peddler's License from Zach
Zeitlini (Burnside Consulting, Inc.) to go Door -to-Door in the Town of Wappinger. In
addition to that application we have received the attached application on September 29,
2011 to be added under the above permit.
Please review the attached application and return to this office with your
recommendation.
J C. Masterson
wn Clerk
JCM/cf
~~
i
O
~~J
~~
_~\
~~.
2010-O1-15 JCM
FOR INTERNAL USE ONLY
Received by: Chris Masterson ~l
Christine Fulton I
Sue Rose J
Date Received: / /
Serial #:
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
NEVI ~`'~ RENEWAL 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: ~./~(t3 ~~. ~ G~9tLfl~F2 AGE: Tape a 2"X 2"
CURRENT ADDRESS: color photo (less
vZ~J~ .sf~-,!1T/~ S`T I~f! J~~kl/L ~ J055~j than 60 days Old)
(St #) (Street) (City) (State) (ZIP)
PERMANENT ADDRESS (if different): ~'
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent o Employ r:
Applicant's Employer u,M St ~ ~~l vt ~,
Address of Employer 6q2 ~-~~ 6 ~4~,~,,p4L lsY !U5 1
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment (attach to application)
2) Natur of Busines
L r Vehicle (circle one): car truck van
iv" n Fool &/or with vehicle drawn~by hand or animal
Vehicle Info: Vehicle Make Vehicle Model
License Piate # State of Registration
Operator's License Number
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
i- Veteran Applicant -Exempt from license fee (attach certificate from Dutchess County)
2010-0 l -15 JCM
Names of all other municipalities in which the applicant bas been a vendor in the preceding 6
months: rl ~P
4) Compliance
That the applicant, if the License requested hereby is granted, consents and agrees to conduct the
aforesaid business or activity pursuantto 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 i ~ _ ~ ~~~~,{
Wappingers Falls, N.Y. Signature of Applicant
Sworn to before me this
1 ~pT DElr3FiA ~. CLA~IC
of ~„~`, 201 Notary Public, State of New York
/~ ~ ID PJo. QiCI-6071733
qualified in Dutchess County
Notary Public My Commisslon Expires March 25,
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
s
ZONING ADMINISTRATOR
Barbara Roberti -Ext. 128
PLANNING BOARD &
ZONINGBOARD OF APPEALS
SECRETARY
Susan Dao - Ext 122
CODE ENFORCEMENT OFFICER
Salvatore Morello tll - Exi 142
FIRE INSPECTOR
Mark Liebermann - Ext 127
CLERICAL ASSISTANT
Michelle Gale - Ext 123
TOWN OF WAPPINGER
DEPUTY SUPERVISOR
Barbara A. Gutzler
ZONING DEPARTMENT
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
(845) 297-1373
Fax (845) 297-0579
www. townofwapp inger.us
TOWN BOA1tD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
1
C~~, v~
August 15, 2011 ~~ ~~~
__. _.~~
Mr. John C. Masterson, Town Clerk + ~~
Town of Wappinger ~ ~ ~"u ~`' ~-~'-~"
Re: Amended Apalication for Hawkers & Peddlers License (newl
Burnside Consulting, Inc., applicant
Dear Mr. Masterson,
Burnside Consulting, Inc.'s application for a Peddler's License to go door-to-door for the
solicitation of Verizon-Fios has been approved for the following salesperson:
1. Maria Villarroel
Their amended application meets the criteria set forth in Section 175-12A.of the Code of the Town
of Wappinger. _~~
Ver truly yours,
~~~~~~
arbara Roberti
Zoning Administrator
I
o ~~~~d~~
AUG 15 2011
TOWN OF WAPPINGER
TOw N CLERK
Cc: Town Board Members
file
TOWN OF WAPPINGER
TOWN CLERK
Chris Masterson
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY ]2590
W W W.TOWNOFWAPPINGER.US
(845) 297-4158 -Main
(845) 297-5771 -Direct
(845) 298-1478 -Fax
Office of the Town Clerk
August 10, 2011
DEPUTY SUPERVISOR
William H. Beale
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
'I'o: Barbara Roberti
From: John C. Masterson
Re: Peddler's License Application -Burnside Consulting, Inc
On July 21, 2011 we have received an application for a Peddler's License from Zach
Zeitlini (Burnside Consulting, Inc.) to go Door -to-Door in the Town of Wappinger. In
addition to that application we have received the attached application on August 10, 2011
to be added under the above permit.
Please review the attached application and return to this off ce with your
recommendation.
7
. Masterson
wn Clerk
JCM/cf
2010-O1-15 JCM
FOR INTERNAL USE ONLY
Received by: Chris Masterson _ 1~
Christine Fulton h.
S Rose J
Date Received: ~ /~ {'~ / ~
Serial #: ~`~'
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The igned does hereby apply to the Town of Wappinger Town Clerk for a
NEW RENEWAL 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: I`~I a r i q y~ ~~ C~ ~ rc~ ~ AGE: Z
CURRENT ADDRESS:
(St #) (Street) (City) (State) (ZIP)
PERMANENT ADDRESS (if different):
(St #) (Street) (City) (State) (ZIP)
if Applicant is an Age~jor Employer:
Applicant's Employer \~f S i ~ S ~ ~ I CAS
Address of Employer ~(2 (~~;~~ ~ ~~~ l-,o~ c, ~ /V`~
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment (attach to application)
Tape a 2"X 2"
color photo (less
than 60 days Old)
2) Nature of Business:
~~~"~ZU'l ~~vS
__---~~
Motor Vehich~' (circle one): ~~ truck van
i /or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make k.~ Vehicle Model ~ ~ ~.
License Plate # State of Re istration
Operator's License Number ~- 2-35 ~- ~,5' ~
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
!" Veteran Applicant -Exempt from license fee (attach certificate from Dutchess County)
2010-01-15 JCM
Names of all other municipalitie which the applicant has been a vendor in the preceding 6
months:
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.
Date : ~Uc,~.~~- y`~ , 20 ~ ~
Vl~a~.iager~tHs, N.Y.
y t~tic-~.~ n tie ~ ~~h~ ~ ~ ti y
Sworn to before me this
~ day of Av~~+-, 20_~
e.-
Notary Public
Signature of Applicant
JENNYVANES8A P WA L
Notory PubIIG • 8tete of New York
No. 01 WA6,~i4172
~uellNed In WastohaNr County
My Commiselon Expln~s Juns Z8, 2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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
ZONING ADMINISTRATOR
Barbara Roberti -Ext. 128
PLANNING BOARD 8
ZONINGBOARD OF APPEALS
SECRETARY
Susan Dao - Ext 122
CODE ENFORCEMENT OFFICER
Salvatore Morello III - Ext 142
FIRE INSPECTOR
Mark Liebermann - Ext 127
CLERICAL ASSISTANT
Michelle Gale - Ext 123
September 2, 2011
Mr. John C. Masterson, Town Clerk
Town of Wappinger
ZONING DEPARTMENT
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
(845)297-1373
Fax (845) 297-0579
www.townofwappinger.us
Re: Amended Aunlication for Hawkers & Peddlers License (new)
Burnside Consulting, Inc., applicant
Dear Mr. Masterson,
Burnside Consulting, Inc.'s application for a Peddler's License to go door-to-door for the
solicitation of Verizon-Fios has been approved for the following salesperson:
1. Ian Huet
~(~C~[~OMCD
Their amended application meets the criteria set forth in Section 175-12A.of the Code of the Town
of Wappinger.
Ve ly y urs, ,
a ara oberti
Zoning Administrator
Cc: Town Board Members
file
DEPUTY SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
SEP 0 2 2~ it
TOWN OF W~PERK ER
TOWN CL
TOWN CLERK
Chris Masterson
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
WWW.TOWNOFWAPPINGER.US
(845) 297-4158 -Main
(845) 297-5771 -Direct
(845) 298-]478 -Fax
TOWN OF WAPPINGER
Office of the Town Clerk
August 24, 2011
To: Barbara Roberti
From: John C. Masterson
Re: Peddler's License Application -Burnside Consulting, Inc
SUPERVISOR
Barbara. A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
On July 21, 2011 we have received an application for a Peddler's License from Zach
Zeitlini (Burnside Consulting, Inc.) to go Door -to-Door in the Town of Wappir>.ger. In
addition to that application we have received the attached application on August 24, 2011
to be added under the above permit.
Please review the attached application and return to this office with your
recommendation.
c ~ ,~
'hn C. Masterson
Town Clerk
JCM/cf
t-OR CNTERNAL
Ilecei~•ed h~: Chris Masterson
Christine Fulton
G~.~ D„~a
?U10-0I-I~ ,ICiti•1
Y Town of Wappinger
Application for Hawkers
X & Peddler's Lisense
I) Applicant:
N;1M1-.:
Ct'RREN"I' 1
(tit r~) (Street
PIRMANEN~T
_~`~. L.-__ ~a
(St rt) 1 Street
li~.~~~pplicant is
Applicant-s En
Address of Em
(City)
ADDRESS (ifdifferent):
-~'r_._~6~ ~ 2
(State) (Z.3P)
(City) (State) ~ ('LIP)
~n Agen r Employer:
rloyer
(~t. ~) (Street) (City) (State) ('LIP;
Pr~~ul•uf L-:mpk~yment lattach to application)
?) Mature of
color photo (less
than 60 days Old )
~'~lotor Vehicle (circle one): car truck van
On Foot &/ r with vehicle drawn by han animal
Vehicle Int~: Vehicle Make ~(tp •Vehicle Model -t=~~___
--
` License Plate # State of Registration ~~__
Operatar's License Number __ 0~~23'}--13 _
Weights & ,Vieasures Certificate Certificate #
Uutchess Cpunty Health Dept Permit Permit #
~~ Veteran Status
L'eteran A~plicant -Exempt from License fee (attach certificate from Dutchess County)
• Jul ZZ 2818 13:23:85 GMT FROM: FZM/76591588493 MSG AI81139898 PAGE 882 OF 883
INSURANCE 1llEN1`IF'ICA7'ION CARS- PA3~ COPY'
Ameriprisc Auto ~X: Hpmc lnsuJ~ncc
IIJ,SJ'rap¢rry Casrur/tylnsurar~ce (:c)mpa~iv
3500 Packerland Drive
DcAere, w1 5a 1 15
Daze; JtJly 22, 201()
'1'~: SAL
Fa,Y #: 703 7'i 1 S72h
Connecticut insurance Card
issued i'ursuan# to Connecticut .Eaw
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(l.tnc thin npuce to rca~rd Any vehicle chxnac. ~>. new card will be nrnt w•hcn campayty is intbrn~ed.)
l'enr ~A9akc~ ~V~hiclc Jdenlikicution ~urtibcr •-•-•~
() f l+oxn tFAkl 3F AW17( U~fi ~~
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fiTrF, l'11'I'gR7'ANT ;4i1CS~A<:M c)hl ItF;V1i12SF: 511)Cr
(REVERS.E StIIE 1NIFORMATI'ON)
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i~NSURED MOTOR VEHICLE FOR
PRODUCTION i)PON DEMAND
NOTtGE: YOI.J HAVE TH.E It1GIiT TO CHOOSI^. TFfE
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YOUR MOTOR VEHICLE WILL BE REPAIRED.
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Ctleat Serr'9ce Ctalms Service
F8{)0) S3S•.590U (KE)C)) 274-2924
fordxut<)in surancc.com
Stule law requires each driver tc~ iiu:ep an insurance identiJ:icatinn
card in hi~/laer vehiulc at all time.
Son~ire Phone; (8Ut)) 535-590U
Service FaY: (<)2()) 33q-56()7
Sales Phanc: (877) 310-248U
Sales Fax: (y2()) 33{}-5124
'Chic sheet cantains y<)ur insttrnnuC idenliticadon curd. (1'f t'nu irttcure
mare: tlJan cans: vehicle with us, a ceu•e) haK l~eell issued Far each
vciticle). C'ulcl'tllly ys:parate the. card; alan8 the perl'oralicans and
plncc one in. }'aur vehicle..
TAIN THIS CONNECTICUT REGISTRATION CERTIFICATE RETAIN THIS
]RTION IN TI{J,s CERTIFICATE IS ONLY VALID AFTER ANY COMPLIANCE ISSUES PORTION IN
JR VEHICLE HAVE BEEN RESOLVED AND PAYMENT HAS BEEN RECEIVED BY DMV YOUR VEHICLE
NO REGISTRATION STICKER REQUIRED
SS CODE PLATE NUMBER EXP. DATE VEHICLE IDENTIFICATION NUMDER YR MAKE MODEL BODY STYLE COLOR GROSS WEIGHT TAND CAP.
O1 790YHR O1 30 11 1FAHP3FN3AW170926 10 FORD FO US 4D SED GREY
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NEW FAIRFIELD CT 06812-3503
2 PLATES ISSUED
SUB REG OLD REG: Ot 557XFU
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TOWN OF WAPPINGER
ZONING ADMINISTRATOR
Barbara Roberti
Ext. 128
July 21, 2011
ZONING DEPARTMENT
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
{845)297-1373
Fax (845) 297-0579
www.towmofwappinger.us
Mr. John C. Masterson, Town Clerk
Town of Wappinger
Re: Aaalication for Hawkers & Peddlers License (new)
Burnside Consulting, Inc., applicant
Dear Mr. Masterson,
Burnside Consulting, Inc.'s application for a Peddler's License to go door-to-door for the
solicitation of Verizon-Fios has been approved for the following salespersons:
1. Zach Zeitlin
2. Ilias Vardakas
3. Pedro Goyburn
4. Marco Antonio Dominguez
5. Robin Kuriakose
6. Krysten Snyder
7. Kedesha Boothe-Hinds
8. Marisa Smith
Their application meets the criteria set forth in Section 175-12A.of the Code of the Town of
Wappinger.
Very ly yours,
ara Roberti
Zoning Administrator
Cc: Town Board Members
file
TOWN SUPERVISOR
Christopher J. Colsey
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
\~a
\\J i I + i ~~ ` v
~~
~,
~~,
~° ~r w `f.a .
~~'~.._~
TOV1';\ CLERK
Chris Nlastcrsan
20 MIDDLEI3US11 ROAD
w'APPINGF.RS FALLS. N1' 12~9U
V~'~1~ W.TOVdNOF~~APPINGER.US
(R4? i 297-~i l ~ 8 -Main
1345) 297->77] -Direct
(84i)29R-1478 -Fax
TOWN OF WAPPINGER
Office of the Town Clerk
TOV1'N SUPERVISOR
Christopher J. Cofsc.~
TOV1'N 60.ARD
William H. Beale
Vincent Bettina
Irma} Czarniecki
,loseph P. Paoloni
=~ECEIVEG~
.JUL f~ g ?~i~
n~ANN{NG DEPARTMENj'
TOL"JN Ur WAPPINGER
July 8, 2011
To:
From:
Re:
Barbara Roberti
John C. Masterson
Peddler's License Application -Burnside Consulting, Inc
We have received an application for a Peddler's License from Zach Zeitlini (Burnside
Consulting, Inc.) to go Door -to-Door in the Town of Wappinger.
Please review the attached application and return to this office with your
recommendation.
~~ ~ ~ `
f
V : .i
r ~
J ~ C. Masterson
own Clerk
JCM/cf
TOWN OF WAPPINGER
TOWN CLERK
Chris Masterson
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
W W W.TOWNOFWAPPINGER,US
(845) 297-4] 58 -Main
(845) 297-5771 -Direct
(845) 298-]478 -Fax
Office of the Town Clerk
July 8, 2011
To:
From:
Re:
Barbara Roberti
John C. Masterson
Peddler's License Application -Burnside Consulting, Inc
TOWN SUPERVISOR
Christopher J. Colley
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Joseph P. Paoloni
We have received an application for a Peddler's License from Zach Zeitlini (Burnside
Consulting, Inc.) to go Door to-Door in the Town of Wappinger.
Please review the attached application and return to this office with your
recommendation.
J C. Masterson
own Clerk
JCM/cf
License No. b Town Clerk's Office
TOWN OF WAPPINGER
~~~~®~9~ ~~~~~~~ t 1
e Wappingers Falls, N. Y. ~__ ~ I __,~ __
~~_ having paid ~ ~ ®Q' ~ a
G~~ ~I ~Z
is hereby licensed as a peddler in the streets of the Town bf Wappinger until ~._,~
With Motor Vehicle ^ On foot or Hand Drawn Vehicle
^ Animal Drawn Vehicle
Town Clerk
BURNSIDE CONSULTING, INC.
188 E. Post Road
Suite 401
White Plains NY 10601
Town of Wappinger, NY:
Verizon would like the opportunity to offer residents, via our Door-to-Door force, the benefits of our new fiber technology
("FiOS"). In order to accomplish this, we are seeking permission via our offidal permitting process to have Verizon's sales
representatives approach existing and potential customers. These sales representatives are required to wear official
identification badges issued by Verizon and follow Verizon's established sales practices.
Verizon will deliver lases-generated pulses of lift, riding on hair thin strands of cuss fiber, all the way to your residents'
homes. FiOS customers will enjoy downloading data from their new Verizon F'i0S broadband Internet connection at blazing-fast
speeds inducting purchasing feature films, CD-quakty audio and real-time chatt~g. Local and long distance service is also
available through this FiOS offering.
New FiOS installations will have the option to receive a FREE wireless home networking router wdh their FOS Internet Service.
Ti\his wireless router Mows our astomers to conned up to four computers through the four wired ports, and/or additional
computers without wires. This means a combination of wired and wireless networking for multi~e computers will also be
available to residents.
If you have any additional questions or need additional information, please contact our office.
We thank you for your cooperation.
FOR INTERNAL USE ONLY
Received by: Chris Masterson ~
Christine Fulton ~I
Sue Rose ~
Date Received: JI / ~ / Ll
Serial #: o~
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
NE RENEWAL 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: ZG~~. ~~'~ AGE: Z3
CURRENT ADDRESS:
~ ~ Cep ~~ ~ ~ ~ N~rwal ~ c,T ~~s~
(St #) (Street) (City) (State) (ZIP)
PERMANENT ADDRESS (if different):
(St #) (Street) (City)
[f Applicant is an Agent or Employer:
Applicant's Employer hS~c~G C
Address of Employer CYYF Pis ~
(St. #) (Street) (City) (State) (ZIP
Proof of Employment (attach to application)
~„ ,~
2) Na~tt,uure of Business:
Ve~i~,, FDs
~, Motor Vehicle (circle one): car truck van
oC, On Foot &/or with vehicle drawn b hand or animal
Vehicle Info: Vehicle Make ,S/ Vehicle Model ~~~
License Plate # ~ (, q l,/ V State of Registration N~-
Operator's License Number D g & ~-~y ~8~$
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
Veteran Applicant -Exempt from license fee (attach certificate from Dutchess County)
Names of all oth municipalities in which the applicant has been a vendor in the pr0eceding 6
months: V ~ S~~
~e~bv~c,
F~ s1.1~;1,~'
4) Compliance
That the applicant, ifthe 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: s~~~ ~+~` , 20 l)
Wappingers Falls, N.Y.
ignatur Applicant
FIIZMORRi5 ALDEN FRIDAY-MCG W
Notary Public -State of New Y
Noe 81 FR6229ti96 ~l
~uallfied !n Bronx Co
My Commissian Expires Novem r ,2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
FOR INTERNAL USE ONLY
Received by: Chris Masterson 1
Christine Fulton kf
Sue Rose J
Date Received: ~ 1 g / ~ ~
Serial #: ~
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
E RENEWAL 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:
~<:}
~~~
~ .., ..yY"'t
NAME: ~ L/ A- S (~jg;~~~ AGE:
CURRENT ADDRESS: wi'
(St #) (Street) (City) (State) (ZIP)
PERMANENT ADDRESS (if different):
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Employer: Tape a 2"X 2"
Applicant's Employer U iJ /I/(r color photo (less
Address of Employer S ~ ~ ~ _ than 60 days Old)
(St. #) (Street) / (City) (tate (ZIP)
Proof of Employment (attach to application)
2) Nature of Business:
1~~-LI ~O~ ~/~~
[Motor Vehicle (circle one): ar truck van
/On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make J~it/pF~ Vehicle Model ~9Cc~c,c22 ~
License Plate # ~W L 9534 State of Registration /y/ y
Operator's License Number ~(~ ~~6/2~3
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
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: ~~/,~/~Q1z-j~
Po c~ G-~~~f~,E'/~5~'~
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: ~ , 20~
Wappi gers F lls, N.Y.
pp -cant
Sworn to before me this
F ayo ,201
FflZ1AORRIS ALDEN 1=1~IDAY-NACGRAW
0 flp~ry Public -State of New Y
No. d1 FR6229896 ~ //
otary u c ~ Commissi~l`xA res November 01, 2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
FOR INTERNAL USE ONLY
Received by: Chris Masterson -1
Christine Fulton
Sub Ro _1
Date Received: '"l / ~ / 1 ~
Serial #:
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
NEW RENEWAL 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: T °'
NAME: I~f:;i~O C~CD~ ~u~ AGE:~_~
CURRENT ADDRESS: '
f ~P~ NC S~ Q~k~~ NK. 1~5~3 -
(St #) (Street) (City) (State) (ZIP)_
'~
PERMANENT ADDRESS (if ifferent
~l ~~ s~- l~f~ ~ `~ ~05~3
(St #) (Street) (City) (State) (ZIP)
[f Applicant is an Agent or Employer: ^^_ • 1 Tape a 2"X 2"
Applicant's Employer t,11eNSll:~ ~-~VStJI.~"{ A-/t~l,.s color photo (less
Address of Employer ~ • 1~ IV, /d 1 than 60 days Old)
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment (attach to application)
2) ature of Business:
~1~217 aN r ~o s
_._.
-Motor Vehicle (circle one): car truck van
1~. On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make Af~U~~a Vehicle Model ~(r
License Plate # GX ~ ?,3 5~ State of Registration Ny
Operator's License Number ~ N q Zg~ 91 S
' Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
Veteran Applicant -Exempt from license fee (attach certificate from Dutchess County)
2010-0 t -15 JCM
Names of all other municipalities in which the applicant has been a vendor in the preceding 6
months:
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: ~~ ~k~ , 20 ll
Wappingers Falls, N.Y.
~~,
Signature of pplicant
Ft1ZMORRIS AIDEN FRIDAY-MC® W
Notary Public -State of New
No. 01 FR6229896 `~
~ualltied In Bronx Co
t#y Commission ~xplres Novembe 01, 2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
Sworn to before me this
FOR INTERNAL USE ONLY
Received by: Chris Masterson -1
Christine Fulton
Sue Roe
Date Received: ~ / ~ / t! ra
Serial #: c~
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
N RENEWAL 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: I~GC c~ ~.:.or:. o ~.v+-: ~n ~.yc~ AGE:
CURRENT ADDRESS:
(St #) (Street) (City) (State) (ZIP)
PERMANENT ADDRESS (if different):
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Emplo er:
Applicant's Employer ~ r,ns•t c~¢, +~ •.s o ~c~`~•rcT's
Address of Employer J~ L, ~a~.. R, W •~-~„~~~~;,,,,s ~y lUta
(St. #) (Street) (City) (State) (ZI
Proof of Employment (attach to apnlicationl
2) Nature of Business•
~~~.
~~
t'~^R
~~'~- ~~~
Tape a 2"X 2"
color photo (less
O I than 60 days Old)
P)
V~~;z~~ ~- ids
Motor Vehicle (circle one): car truck van
On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make Vehicle Model
License Plate # State of Registration
Operator's License Number
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
!~ Veteran Applicant -Exempt from license fee (attach certificate from Dutchess County)
2010-O1-15 JCM
Names of all other municipalities in which the applicant has been a vendor in the preceding 6
months:
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: _~d ~ y ~ ~ ~ , 20 t
Wappingers Falls, N.Y. S' a scant
Sworn to befoa-e me this
day f ~ , 20 f /~
~ I:ITZIAOR PIubIILc~- State of Nerw GRAW
Notary `/
iry Pu is No. d1FR6229896
Qualified In Bronx Co
U~y fromrnia$lon expires November 01, 2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
FOR INTERNAL USE ONLY
Received by: Chris Masterson
Christine Fulton l~
S~ Rase
Date Received: 'i' l D / ~ ~
Serial #: `~'
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
NEW RENEWAL TEMPORARY
(1 weekend only)
license for Hawking and Peddling pursuant to Town of Wappinger Local Law No. ] 0 of 1992,
regulating Hawkers and Peddlers in the Town of Wappinger, and in connection with. such
application, does state the following:
1) Applicant:
NAME: ~c~d irk 1~11K1~~~K~~~' AGE: ~~i
CURRENT ADDRESS: ,~
I ~ •i-( b~~~J C:T ~-tf~iriSi~f~l~' N 'y f~w~
(St #) (Street) (City) (State) (ZIP)
PERMANENT ADDRESS (if different):
(St #) (Street) (City) (State) (ZIP)
[f Applicant is an Agent or Employer: Tape a 2"X 2"
Applicant's Employer _R„~~15 -.DF ~~0't1Su L~ l'1~~ color photo (less
Address of Employer ~~, ~ C' F' a c ~ ~ f7 ~) (-1 I rL ~ ~l-AM1 S N y) e(lc than 60 days Old)
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment _ (attach to application)
2) Nature of Business:
~~~V~l~~
Motor Vehicle (circle one): ca truck van
On Foot &/or with vehicle drawn by han r animal
Vehicle Info: Vehicle Make ~-i '~ ~ ~ fl Vehicle Model ~ C c e~ R ~
License Plate # Dpi ~ 9 0~ S- State of Registration N~ ~'w `~ ~ P1C.
Operator's License Number "13 S ~I ~) ~~ 2 ? )
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
i~ 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: ovG 5~~
~e,J
r ~s~.l~~
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.
k~
Dated: ~v~ ~ , 20~
Wappin ers Falls, N.Y.
' atur of Applicant
FI'TZM®RRi3 ~LDiEN FRIDAY-MCG
Notary Publlc -State of New
No. 01 FR6229896' l/
Gluafifisel In Bronx C
My Commisslan expires November 01, 2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
Sworn to before me this
FOR INTERNAL USE ONLY
Received by:
Date Received
Serial #:
Chris Masterson ~
Christine Fulton
Sue Rose ~]
~~/~/ ~i
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
EW RENEWAL 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 irrconnection with such
application, does state the following:
1) Applic t:
NAM ~
R T Al
(t #) (Street
I'ERMANEN'I
SS:
(City)
ADDRESS (if diff~nt): ,
AGE:~Z
(State) (ZIP)
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Employer: ,
Applicant's Employer
Address of Employer ~ . ~
(St. #) (Street) (City) (State) (ZIP;
Proof of Employment (attach to anplicationl
2) Nature of Business: A r
Tape a 2"X 2"
color photo (less
than 60 days Old)
C Motor Vehicle (circle one): car truck van
~-On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make Vehicle Model
License Plate # State of Registration
Operator's License Number
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
'- Veteran Applicant -Exempt from license fee (attach certificate from Dutchess County)
2010-01-15 JCM
Names of all o er municipalities in which the applicant has been a vendor in the preceding 6
months: -~~~Y ~ ~ ~
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:. ~ , 20~
Wap i gers Falls, N.Y.
Sworn to before me this
FITZMORRI5 ALDEN FRIDAY-MCGRA
Notary Public -State of New Y
Na. i)1 FR6229896 7 1I
Gluailfied In Bronx Co
llAy Commis~lara ~,:xpires November 1, 2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
FOR INTERNAL USE ONLY
Received by: Chris Masterson ~I
Christine Fulton
S~ Rose
Date Received: _ / ~ /
Serial #:
2010-O1-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wannin~er Town CIPrk fnr a
NEW RENEWAL 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:~'~~5/~f9 ~TN~E -1~1nlD~ AGE: 2g
CURRENT ADDRESS:
~ 2 C ft-c's7iyt, T ST1Z~7 1~r~tolJx iJ V ~ C~`~~
(St #) (Street) (City) (State) (ZIP)
PERMANENT ADDRESS (if different):
(St #) (Street) (City) (State) (Z1P)
If Applicant is an Agent or Employer: Tape a 2"X 2"
Applicant's Employer color photo (less
Address of Employer ~ 17 -`-S N than 60 days Old)
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment _ (attach to application)
2) N,ax~' of Business:
~/ ZUNI ~- OS
[- Motor Vehicle (circle one): car truck van
On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make Vehicle Model
License Plate # State of Registration
Operator's License Number
Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
f- 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: PCI;C,IfkFE~;~~ ~~ IVt~~~UR ~,
f ~Sr+K~ II
1St ~coti.
4) Compliance
That the applicant, ifthe 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: ~~ (o , 20~
Wapp ngers Falls, N.Y.
Si re of Applicant
FIIZIAORRIS ALDEN FRIDAY-MCORA
Notan! >P+'I~I?c -State of N Y
t~. , ~,~" s RS229896 Ll
fd~ ~:.~~~-'..,~~:'~~ ire i3ronx Co
~~~~ ~;,~;; . ~.~~irp~ Mavember 01, 2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
Sworn to before me this
FOR INTERNAL USE ONLY
Received by: Chris Masterson ~~
Christine Fulton ~I
Sue Ro U
Date Received: ~ / ~ / i I
Serial #: ~-
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
E RENEWAL TEMPORARY
^-- (l weekend only)
license for Hawking and Peddling pursuant to Town of Wappinger Local Law No. l 0 of 1992,
regulating Hawkers and Peddlers in the Town of Wappinger, and in connection with such
application, does state the following:
-
,
1) Applicant: , ~
_
~
'
-
r"\0.~~ ~ ~(Wl`'~'V\
NAME C
:
~
,
~~
: AGE:
CURRENT ADDRESS:
~ 5 - ~~n S i ~ ~' ~
(x.)~v~e., ~ 1~, ~~ ~ i~ ~
(St #) (Street) (City) (State) (ZIP
PERMANENT ADDRESS (if different): ,,,~
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agen r Employ r: ~ Tape a 2"X 2"
Applicant's Employer c ~ i Su ~-~-tVl Z~ color photo (less
Address of Employer -- bS~ 2 h ~~ns L?Q lUla ~ than 60 days Old)
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment (attach to app lication)
2) Nature of Business:
~2~~Zd~ ~~ D s
C Motor Vehicle (circle one): car truck van
On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make Vehicle Model
License Plate # State of Registration
Operator's License Number
f_ Weights & Measures Certificate Certificate #
Dutchess County Health Dept Permit Permit #
3) Veteran Status
f 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: ~; SI~,~~~
~ ~~.~i C
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: 5~J1~.~ ~'}~ , 20 U
Wappingers Falls, N.Y. Signature of Applicant
Sworn to before m this
f , 20 FITZMORRIS ALDEN FRIDAY•MCG
Notary Public -State of New Y
~'~rz„ ~iFR6229896 l/
tart' Pu lic d'8~a~3~,-~ In Bronx Co
G~ ,o., ~'x=~1r~s November 01, 2014
Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to
the Town of Wappinger. This is anon-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.
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