Hyde, SamuelFOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Grace Robinson
Date Received:
Serial #:
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
& Peddler's Lisense
PN, , 7fi,
a, ,p�09
\N" P
does hereby apply to the Town of Wappinger Town Clerk for a
99RUMM.'"
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: 10
1) Applicant:
NAME: S�..ve, 7 A,4�q,li,k,�t,4;c _q AGE:,�-.(______
CURRENT ADDRESS:
Y,,,L'SqAA- AlY IOV0
(St #) (Street) V __j (City)* (State)
PHONE#
PERMANENT ADDRESS (if different):
(St #) (Stre&) ® i (city) (State) (ZIP)
If Applicant is an Agent or E%oyer: Tape a 2"X 2"
Applicant's Employer ower Home Rembdeling Group
color photo (less
Address of Employer ' 60 q9mr-ppree 6
ll ru
Dr Trumbull CT 0611
1 -1 11 —1-1 --rr 1-11. 111-111- 1 than 60 days Old)
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment V(attach to app 1cation
2) Nature of Business:
t) Lvi, Sd 14 _jgpo [,J(jors
X Motor Vehicle (circle one): car truck van
0 On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle MakeVehicle Model _V
License Plate # State of Registration ./VeYo/-
Operator's License Number
[I Weights & Measures Certificate Certificatory
--n /
e 9(A
F-1 Dutchess County Health Dept Permit Permit 4
2010-01-15 JCM
3) Veteran Status
11 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: 20
Wappingers, Falls, N.Y.
Sworn to before me this
I
10ftay of-Gatebw-, 20
Notar is
Signe-4- a Applicant
NON ;,11)/ PUblk'�',. Stale Of
My 7',,,
pres 0'/,3-1/2028
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.
A 44.�::.«M1...,...Y 1.,...,,.,..,..cn....1...,.., O ;11, 1— 4—� w...•.w-w+.3K:.... C51—r.r.. Aiutirn4— uR ewre va ne.Cniw^cae+ fir it
anter time last w
indicated. `
istomers to see. Any, permit previously
location noted can this permit is novo
in ns is sold, transferred, or
knsfer this permit. Display this permit conspicuously for your customers to see.
New York State Department ref Taxation and Finance
Certificate of Authority
Idarrti Galion number
23-303070
(Use this number on all returns and correspondence)
Y'
POWER HOME REMODELING GROUP, LLC
25GI SEAPORT DR STE 8110
CHESTER PA 19013-:2249
Dept of Tax
and Finance
Is authorized to collect sales and use taxes under Articles 29 and 29 of the Now Yank State Tax Law.
Nontransferable
This certificate must be prominently d1splayed at your place of business,
Fraudulent or other Improper use of this certificate will cause it to be revoked.
The certificate may not be photocopled or reproduced.
Phologmmhs - copyrtghl of NYS emph stale Development
4020109100098 JDB8.0880635 P0000236-01 DTF-17-A (9/10)
VA