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Forms Can Be Submitted via Ernail to lodell(2ctownofwappingerny.go or in person/via mai to 20 MiddlebUsh
Rd Wappingers Falls,, NY 12590 OPA
FOR INTERNAL USE ONLY 4TO" OF WA 1�
—Appli, ub i _k
PW - 01OX
Received by: Joseph P. Paoloni -1 E_ kl..'x
y V9
REOU T
Lynn O'Dell
Lori McConologue
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
J
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
Narne: John Heard
Address: 79 Whittier Blvd
ornru r)t Aappingf
FOR DEPARTMENT USE ONLY
Date Received by Dept'2
Department Head approval:
reit)
Date Applicant Contacted: 3-/01/23
Date FOIL ftilfilled or denied: /P1 /D3
Closed by:
Date:
Notes: Cf- ncl 04��l Xect
Amount Due: — Pages for a total of $ —
Poughkeepsie, NY 12603
Agency or firm: NIA Construction Services, Inc.
Telephone #: (845 ) 240-C- 0830 – FAX #:
Email address: info@niabuilds.com
check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
Inspection report of deck footings at 85 Chelsea Rd. Wappingers Falls, NY 12590
.... . ..... . . . . . . ........... . ... J
FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the records) 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 faxcd to the number listed above