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Forms Can Be Submitted via Email to lodelf(L6towiletvaL)pigf_crnv.go orinpersoii/viamail to2OMiddlebLish
Rd Wappingers Falls, NY 12590 �57 2- 70C, 544 - oam
FOR INTERNAL USE ONLY
0' �L USE ONLY TOWN OF WAPPINGER
oloni 2 ReC�pojdtion for Public Access to Records
Received by: Joseph P. Paoloni 1-1
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Lynn O'Dell ❑ FOIL REO
t
Lori McConologue MAR 13 2023
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Date Received:
FOIL Ser. #:
_7
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
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PLANNING
11
ZONING
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FIRE- INSPECTOR
HIGHWAY
RECEIVER OF TAXES
11
RECREATION
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SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
Ll
TOWN ENGINEER
El
TOWN ATTORNEY
Ll
MAR 13 ?02,3'
PRO
WMA6 g7 BuildinDepartmen-
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ff'LT�WN Or- WAPPIroGER
FOR DEPARTMENT USE ONLY
Date Received by Dept /B -,- '1,- 3
Department Head approval:
Date Applicant Contacted:
_41
Date FOIfiddled r denied:
Closed by:r,MLI-2,110
Date,
Notes: I 47(_ -_ raol(�.j,%',z'
Amount Due: ,�-) Pages for a total of $
Name:5�L-A�e.S6_.. Shh -
2i check here if you are
Address:
requesting that the records
..glis be mailed to this address.
Agency or firm,
Telephone #: FAX #:
-
Email address:
12 1 5_. Q .�
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
E, I 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
L I request that the records be sent via e-mail to the address listed above
U I request that the records be faxed to the number listed above
5HAILESH SHAH
Town of Wappinger
20 Middlebush Rd,
Wappingers Falls, NY 12590
(845) 297-6256
FEES PAID
Reference:
6157-02-700544-0000
Dabil Enterprises Ltd
Old Hopewell Rd
03/15/2023
Date Fee Check No. Receipt No. PayType Amount
03/15/2023 1 COPIES 1 12023-00403 1 CASH 1 $5.50
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 03/15/2023