Francis, DavidFOR INTERNAL USE ONLY
Received by: Joseph P, Paoloni 11 Rl�
Grace Robinson Li
Date Received: j
Serial #: v To\Nn 0
I W
2010-01-15 JCM
Town of Wappinger
cved Application for Hawkers
& Peddler's Lisense
rj
f Wappinger
Nil Clerk
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
NEW RENEWAL TEMPORARY
(I 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: AGE: 'LS
CURRENT ADDRESS:
(St #) (Street) (City) (State) (ZIP)
PHONE#
PERMANENT ADDRESS (if different):
(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 application)
2) Nature of Business:
—,;i' \A " qty. ' h "" V2,11' N,C i ^
Tape a 2"X 2"
color photo (less
than 60 days Old)
.1
U Motor Vehicle (circle one): car truck <,van
11 On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make z.,\\ Vehicle Model
License Plate# 1A -)\,,j -\'IS State of Registration Al --N1.
Operator's License Number
D Weights & Measures Certificate Certificate #
11 Dutchess County Health Dept Permit Permit #
MU119fIMM
3) Veteran Status
❑ Veteran Applicant - Exempt from license fee (attach certificate from Dutchess County)
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 To .-of
Wappinger as a Peddler or Hawker. /
Dated: t _ j I I_ 20
Wappingers Falls, N.Y.
Sworn to before me this
day of , 20
Notary Public
of Applicant
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.
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***RECEIPT***
Date: 01/10/24
Receipt#: 115854
Quantity Transactions Reference Subtotal
2 Peddlers Permit 24-01 24-02 $100,00
Notes
Payment Type Amount
CK #k83612 $100.00
Name: Renewal by Anderson
110 Rotterdam Industrial Park
Schnectady, NY 12306
Clerk Iq: LM
Paid By
Renewal by Anderson
Total Paid: $100.00
Internal ID: 24-01 24-02