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Forrns Can Be Submitted via Email to I ode I I qi,'townofwappin g6i-ny, gov, or in person/via mail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lynn O'Dell );Z�
Lori McConologue
Date Received:
FOIL Ser. #: Tow
DEPARTMENT:
ASSESSOR
ACCOUNTING
CGDE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
TOWN OF WAP,PINGER
Application for Public Access to Records
I
FEB 1002'3
5uflding Department
Town of Wappl nqer
Name: Rachel McLoughlin check here if you are
Address: 1857 Commerce St requesting that the records
Yorktown Heights, NY 10598 be mailed to this address.
Agency or firm: Compass Real Estate
Telephone #: (914 ) 482 -1829 FAX 9:
Email address: rack el. mclouq hl i nficom pass. com
SPECIFIC DESCRIPTION OF RECORD.
Building dept records. Any certificates of occupancies, permits, survey
(168, , ) tlr,� C14v_ el
FORMAT OF RECORD (if available)
j
I request to be notified when I can come to inspect the record(s) described above
L 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
FOR DEPARTMENT USE ONLY
X
Date Received by Dept /I/ IL
Department Head approval: CV
(init)
�j
iG
Date Applicant Contacted: IL&✓
Date FOIL fulfilled or denied:
Closed by:
Date: J L (a ✓
Notes: 41-LIf-I Lra')
Amount Due: Pages for a total of $
Name: Rachel McLoughlin check here if you are
Address: 1857 Commerce St requesting that the records
Yorktown Heights, NY 10598 be mailed to this address.
Agency or firm: Compass Real Estate
Telephone #: (914 ) 482 -1829 FAX 9:
Email address: rack el. mclouq hl i nficom pass. com
SPECIFIC DESCRIPTION OF RECORD.
Building dept records. Any certificates of occupancies, permits, survey
(168, , ) tlr,� C14v_ el
FORMAT OF RECORD (if available)
j
I request to be notified when I can come to inspect the record(s) described above
L 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