Carioscia, AnthonyFOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni F
Grace Robinson L
Lori McConologue F�''
Date Received: /
2021-05-13 JPP
Town of Wappinger
Application for Hawkers
-�* Peddler's License
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Serial of lj"99'
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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) Applicapt:
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NAME: AGE:
ADD,RES I
hnl
-
(St #) (Street) (city) (State) (ZIP)
PHONE#
) ( Ntj L(I(
PERMANENT ADDRESS (if different):
Tape a 2"X 2"
color photo (less
than 60 days Old)
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or mplo er" Ti
171"p -PI
Applicant's Employer c col
ol
Address of Employer )P�
)Trat
(St. #) (Street) (city) (State) (zip) TO
Proof of Employment . (attach to Application)
b2) Nature of Business: o o -(�- j-c7A A-Vil k- Jff 1-,,
11 Motor Vehicle (circle one): car truck
0 On Foot &/or with vehicle dra" by lid or �iianimal
Vehicle Info: Vehicle Make I ' Jlell,^ Vehicle Model (olyo -
License Plate # State of irration
Operator's License Numbe
L Weights& Measures Certificate CerfificE�tc-#
F1 Dutchess County Health Dept Permit Permit #
2021-0513 JPP
3) Veteran Status
C 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 Town of
Wappinger as a Peddler or Hawker. C 9 � N- I
Dated: 10116 , 201?
Wappingers Falls, N.Y.
Sworn to before me this
y of 20
WPub is
Lae A. FMno
NOWY Public, Staia of NeW York
ts1o. 01FR6327343
Qualifled in Dutchhess6 oy �
Cammissian En G
Signature of Applicant
Application must be accompanied by a fee of Two Hundred Dollars ($200.00) plus $50 for
each addition to the original license per year, 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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