Kudrenetsky, MichaelFOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Grace Robinson Re
Lori McConologue
jil
Date Received: I Town, 0
Serial It: Tov
2021-05-13 IPP
Town of Wappinger
ceived Application for Hawkers
& Peddler's License
f Wappinger
n Clerk
The undersigned does hereby apply to the Town. of Wappinger Town Clerk for a
1 RENEWAL TEMPORARY = (I wcckcnd 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: Michael G. Kudrenctsky AGE:
CURRENT ADDRESS:
166 Academy St. Apt H I Poughkecpsie, NY 12601
(St #) (Street) (City) (State) (LIP)
PHONE #
914)409-3797
PERMANENT ADDRESS (if different):
(St 9) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Employer:
Applicant's Employer JTJ I Consulting, Inc, dba Under- the Sun Improvenicnts
Address of Employer 168 Overlook Rd. Potiglikeepsic, NY12603
(St. fl) (Street) (City) (State) (ZIP)
Proof of Employment --..-.-.—(attacli to application)
Tape a 2-X 2"
color photo (less
than 60 days Old)
Tape a 2"X 2"
color photo (less
than 60 days Old)
2) Nature of Business:
Home Iniproveinent- Outdoor Living SaIcs & Installation(SLI11-I'001-i-is, Decking, Swininiijig Pools, etc...
X motor Vehicle (circle one): car truck van
X On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make Ronda Vehicle Model Civic
License Plate # L 3Y3826 State of Registration NY
Operator's License Number 80543 1 03 1
1 Weights & Measures Certificate Certificate 4
Dutchess County Hcalthl)cpt Permit Perinit 9
2021-05-13 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 G
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.
Swore to before me this
day o�, 2Q
Notary Public
Signature of Applicant
SNERI PARTE
Notary Public, State of New York
Reg, No. 01 PA0004751
Qualified in Dutchess County
Commission Expires April 3, 20M
Application inust 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-refiuidable 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.