Carlson, HeatherFOR INTERNAL USE" ONLY
Received by: Joseph P. Paoloni
Grace Robinson
Lori McConologue >/
Date Received:
Serial #:
I
2021-05-13 JPP
Town of Wappinger
Application for Hawkers
& Peddler's L,icense
i.eceWed
The undersigned does hereby apply to theTown of'*olhgyer-fown 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) Applicant:
NAME: -j
AGE:
CURRENT 15 f� ate) fd(Z-�I - P-)
(C i t y
(St #) (Street)
PHONE # .Scl 0
('70
PERMANENT ADDRESS (if different):
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Employer-, .
Applicant's Employer oLRAW R1. _yt[-Creamf!-R-
Address of Employer
(St, (Street) (City) (Sate) (ZIP)
, t
Proof of Employment (attach to aj)L)Iication) `10
1) Nature r
I at"Iro Dusloess:
sc>�P4' skk\)E
Tape a 2"X 2"
color photo (less
than 60 days Old)
tor Vehicle (circle one): car truck van
��Omlol Foot &/or with vehicle drawn by hand animal
anal
Vehicle Info: Vehicle Make Vehicle Model ?A)
License Plate # State of Registration
Operator's License Number
I ] Weights & Measures Certificate Certificate # m/^
I Dutchess County Health Dept Permit Permit# 402-2-2-�S
IBM
'to Operate a
Mobile Food Operation
'fhis is to ccrtifthat
CARTWRIGurr CREAMERY
the operator of
("ARTWRIGHTCREAMERY
at
15 BEATI'Y RD
WAPPINGER, NY 12590
Located in WNPPINGER in, DUTCHE SS COUntY
is granted permission to operate said establishment in conipliance with the provisions
of` Subpart 14-4 of the State Sanitary Codc and under the following conditions;�
],'I his peri -nit is granted subJect to any and all applicable State, I-ocal and Municipal Laws, Ordinances,
Codcs, Rules and Regulations.
Fffective Date: 3/1/2025
Livia Santiago-Rosado, MD, FACEP
Permit is NON -TRANSFERABLE Pennit Issuing Official
This permit expires on 3/31/2026 and may be revoked or suspended for cause.
THIS PERMIT SHOULD BE POSTED CONSPICUOUSLY
Validate
Food Safety
Facility code: 4022268 Permit Number: 4022268 Operation 11): 1167362