27FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ri
Grace Robinson 0
e—
Date Received: / /
2009-10-16 TCM
TOWN OF WAPPfNGER
Application for Public Access to Records
ReceivedFOIL REO( T
FOIL Ser, --,� -7 T�
P wn of Wappil
rlprL,
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
CV
ZONING
FIRE INSPECTOR
Ll
HIGHWAY
11
RECEIVER OF TAXES
RECREATION
F1
SUPERVISOR
D
TOWN CLERK
WATER/SEWER
❑
DOG CONTROL OFFICER
E
TOWN ENGINEER
1i
TOWN ATTORNEY
D
Jrlg Depaaorr�r,�
0 F VVA PPI, N
FOR DEPARTMENT USE ONLY
Date Received by Dept -1/'2 / --
2— c) , S
Department Head approval: Q.
Date Applicant Contacted:
Date FOIL fulfilled or denied:
Closed by:
Date: a/ / la3
Notes: -
Amount Due:
Name: -Mark Fielbig- F1 check here if you are
Address: _. 66 Gold Rd requesting that the records
Wappingers Falls NY 12590 be mailed to this address.
Agency or firm: Self
Telephone #: ( 631 ) 428 - 5557 FAX #:
Email address: mfielbigggmail.com
SPECIFIC DESCRIPTION OF RECORD:
I would like to access all b uilding, code, permit.,and parcel related information. Including
any blue riots architect plans, work pe.rmits,d ro
g�arty surveys.
FORMAT OF RECORD (if available)
0 1 request to be notified when I can come to inspect the record(s) described above
I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above
Cc<
-21161Q3-a1° Mar -ft q,J i/d hag- - bt,eh
1001
Dutchess ProPrint
Printing J Copying I Design I Mailing
1.299 Route 9 Ste 105
Wappingers.Falls NY 12590
845-298-8898
Accounts Payable
Town Of Wappinger
20 Middlebush Road
Wappingers Falls NY 12590
SHIP TO -
Tow ' n
O:
Town Of Wappinger
20 Middlebush Road
Wappingers Falls NY 12590
Fax: 297-4558
Pay from this invoice
Dutchess ProPrint "1299 Route 9 Ste 105 • Wappingers Falls NY 12.590 • 845-298-8898 (print# 1)
TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE.
03/01/2023
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
(845) 297-6256
I
FEES PAID
Reference:
MARK FIELBIG 6358-03-012432-0000
Maldonado, Jesus
J 66 Gold Rd
Date Fee Check No. Receipt No. PayType Amount
03/01/2023
COPIES
2023-4031F3
CREDIT
$14.16
CARD
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 03/01/2023
Tnwa Ur happirreer
Bulldlns
20 Mlddlehr-C151) Rd
IJapNingera Falls NY. 12596 l
Phone;8q5-297-8158
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A,ith. Cade: 689231
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1 a -re, to pay the above total amount
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(Merchant agreement if credit voucher)
11L appreciate Your payments
Thank You Wwv Mocht
hi�r•ah�i�� C:c7Nv
Tawe
Of �aNpluget'
()llild1T19
2rd MaaIG rLO" y�12590
Wanpluv"" Falls, -4, 58
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lndh- code: x �39G1
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