Robinson, PatrickFOR INTERNAL, USE ONLY
Received by: Joseph P. Paoloni I❑I
Grace Robinson IJ
Lo,( mt-tono 10� q
Date Received: /
Serial #:
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
does hereby apply to the Town of Wappinger Town Clerk for a,
NEW / RENEWAL
(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: e /& A � AGE: 3
_P .. . . . . ..............
CURRENT ADDRESS:
(St #) (Street) o (City) (State) (ZIP)
PHONE#
- � (.
PERMANENT ADDRESS (if different):
Y In
(St #) (Street) (city) (State) (ZIP)
If Applicant is an Agent or Emgloyer: Tape a 2 "X 2
Applicant's Employer ower Home Remodeling Group color photo (less
Address of Employer 60 commerce., Dr Trumbull CT 06611v. than 60 days Old)
(Street) ......... .. . (State)"- (ZIP)
Proof of Employment V/(attach to application)
2) Nature of Business:
- rre° e S r 12 jd, w & 5rd roq , Coo C , jeors
W
N Motor Vehicle (circle one).- car truck van
LJ On Foot &/or with vehicle drawn by h in or animal
Vehicle Info: Vehicle Make 6,-a Vehicle Model
License Plate
State of Registration Aj
Operator's License Number '� z4!_.
Ll Weights& Measures Certificate Certificate # n /a
11 Dutchess County Health Dept Permit Permit # l3ha
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 b
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: . _ fr /x--$ 202Y
Wapp' gers Falls, N.Y.
Sworn to before ane this
I g day of ry �, 2025
Notary Public
LISA EINSIDLi_R
Notary Public - State of N'
Notary York
NO, 01 EIb423776
aualifiOd in Suffolk County
My CoMMission Expires Oct 18, 202;5
* 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.
New York State Department of Taxation and Finance
Certificate of Authority
Idem#fleation number
23 -337th
(Use this number on aA returns end correspondence) �
POWER HOME REMODELING GRUMP, LLC
2601 SEAPORT DR STE 8110
CHESTER FSA 19013-2249
3/2612014
Dept of Tax
and Finance
Is authorized to collect sales and use taxes under Articles 28 and 29 of the New York State Tax Law.
Nontrmnaferable
This certificate must be prominently displayed at yopr place of business,
Fraudulent or other Improper use of thin certificate *11 cause €t to be revoked.
The certificate may not be photocopied or reproduced.
Phologrophn - anpyrlghl of NYS Empire state ow 1wment
40201091010098 1 D88 - 0890&35 P0000236-01 DTF-17-A (9110)
41.