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Wagner, Johnh9R.INTERNAL USE ONLY .L— —Y Received by: Joseph P. Paoloni L i Grace qobinson Fj N kqlc-601-0 Date Received: Serial A 2010-01-15 JCM Town of Wappinger Application for Hawkers & Peddler's Lisense The undersigned does hereby apply to the Town of Wappinger Town 10 RENEWAL rklio EMPO"R",5 Y (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. '° -I- K tv, (St #) (Street) (State) (ZIP) PHONE# I—Al S ) c5sf,- PERMANENT ADDRESS (if different)-, (St #) (Street) (City) (State) (ZIP) If Applicant is an Agent or Employer Applicant's Employer ower Home Ret-rfodeling Group Address of Employer 60 Commerce Dr Trumbull CT 06611 (St. #) (Street) (City) (State) (Z Proof of Employment Attach to application) 2) Nature of Business: idor. LO N Motor Vehicle (circle one): (-%0 truck van LJ On Foot Wor with vehicle drawn by hand or animal Vehicle Info: Vehicle Make 4r-a)MVchicle Model 0[uc License Plate LL State of Registration 4Y Operator's License Number Ll Weights & Measures Certificate Certificate # it lo. (-] Dutchess County Health Dept Permit Permit # ni-OL 2010-01-15 JCM 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; .�� _, 2024 'Wappingers Falls, N.Y. Sworn to before me this day of a,4, 2&_ Notary Public )r �ature`of A licant =NO�, SIDI.ER ate of New York tato of uffa4k Courity fres Oct 18, 2025 Application must be accompanied by a fee of Two Hundred Dollars ($200.00), 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. Now York State Department of Taxation and Finance Certificate of Authority Idemilica#ion: number yNgff 23-3030708 (tile this number on off returns and correspondence) POWER HOME REMODELING GROUP, LLC 2501 SI=APORT OR STE 8110 CHESTER PA 19013-2249 31261201 Dept of Tax and Finance Is authorized to coiiect sails and use taxes under Articles 28 and 29 of the New York State Tax Law. Nontransferable This certificate must be prominently displayed at your place of business, Fraudulent or older Improper use of this oertifleate will rause It to be revoked. The oertifloate may not be photocopied or reproduced. Photogmphe - aoWighf of NYs Empire Slato C}"[Wment 4020109100098 11 38 - 0880635 P0000236-01 DTF-17-A (9110) As