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Cutignola, NicholasFOR INTERNAL USE ONLY Received by: Joseph P. Paoloni E Grace Robinson 11 Lori McConologue Date Received: Serial 4: The 2021-05-13 JPP Town of Wappinger Application for Hawkers 'ece�,4e & Peddler's License \Nap I C\,er 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: AGE: CURRENT ADDRESS: (St #) (street) (City) (State) (ZIP) PHON 14 PERMANENT ADDRESS (if different): (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 application) 2) Nature of Business: Tape a 2"X 2" color photo (less than 60 days Old) Motor Vehicle (circle one): car truck van On Foot &/or with vehicle drawn by hand or animal Vehicle Info: Vehicle Make Ch'K/f-/' Vehicle Model7crxpel Ct,-1,Y License Plate State of Registration Operator's License Number E Weights & Measures Certificate Certificate # 11 Dutchess County Health Dept Permit Permit # 2021-05-1.3 JPP 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 Town of Wappinger as a Peddler or Hawker. Dated: /Ca���' Wappingers Palls, N.Y. Sworn to before me this C�ty/ of NotPublic 20 X Signature of Applic�nt Com.�G Lee A. F'reno Notary Public, State of New York No. OI FR6327313 Qualified in Dutchess G Co -,mission Expires 7161 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. LU L c �nI N C�7 I.C} C3 .- ,.'. Ln C3 O Z © 44 L -Q coo RR Q �. CD'.may., , jF�' {ham � yy c . Ln �H co pl :. U LL :_ Ao to �3 c co LIA ' L Ln'LnC' �-'i .Q�C.'j .' 1�,��11-��O� j .. r` CJ`",C,CST.CQ H.H U. I LU L c �nI Lf] m c7 ca 0 c� � C) RR T�, �3 c Lf] m c7 ca 0 c� c oo zw LiE-0 w ID' dj E