Veras, OdelFOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni [1
Gra Robinson
Lori McConologue
Date Received:
Serial #: r 10
2?,
2021-05-13 JPP
Town of Wappinger
Application for Hawkers
Received& Peddler's License
CCS 17 2023
0, f \Nappin
-ro\Nn Clerk
The undersigned does hereby apply to the Town of Wappinger Town Clerk for a
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:-.-Ojej oar - AGE: 117
CURRENT ADDRESS:
(St #) (Strec"io (City) (State) (ZIP)
PHONE ft
(9f ) 42o -S
PERMANENT ADDRESS (if different):
S�S f?!JavLx-z/ 4 YJ AXI J141'
(St #) (Street) ' (City)
If Applicant is an Agent or Employer:
Applicant's Employer
Address of Employer
(State) (ZIP)
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment (attach to gpplication)
2) Nature of Business:
Tape a 2"X 2"
color photo (less
than 60 days Old)
YMotor Vehicle (circle one): car truck Cv a
11 On Foot &/or with vehicle drawn by hand or animal �1
Vehicle Info: Vehicle Make Vehicle Model
License Plate # State of Registration AN
Operator's License Number 077., -7
E Weights & Measures Certificate Certificate #
Ll Dutchess County Health Dept Permit Permit #
2021-0,5-13 JPP
3) Veteran Status
El 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.
Dated: 20'� )
Wappingers Falls, N.Y.
Sworn to before me this
Not
Signature of Applicant
Lee A. Fano
Notary Public, State of New York
No. OIFR6327313
d'
Qualife in Dutchess CO
Commission ExPite-"I
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.
I
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