Redmon, ChristianFOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Grace Robinson ❑
Lori McConologue
Date Received: 0 f
Serial #:�
2021-05-13 JPP
Town of Wappinger
Application for Hawkers
Peddler's License
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The undersigned does hereby apply to the Town of appinger Town Clerk for a
NEWU RENEWAL TEMPORARY
(l weekend only)
License for Hawking and Peddling pursuant to Town of Wappinger Local Lava 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: 6 ' d° � (a AGE:
CURRENT ADDRESS:
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(St #) (Street) (City) (St e) (ZIP)
PHONE #
(
PERMANENT ADDRESS (if different):.
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent ox Employer:
Applicant's Employer
Address of Employery
(St. #) (Street) (City) (Stat (ZIP;
Proof of Employment (attach to appl.ication7
Tape a 2"X w
color photo (- ass
than 60 days Old)
2) Nature of Business:
r
Y 1" otor Vehicle (circle one): car truck an
El On Foot Wor with vehicle drawn b h nd or animal
Vehicle Info: Vehicle Make I /V Gel,' Vehicle Model 7aal ClQd
License Plate # S ate of Re ation
Operator's License Number �r - '`
Lj Weights & Measures Certificate Certificate
11 Dutchess County Health Dept Permit Permit #
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