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Forms
Rd Wappingers Falls, NY 12,590 � T F
FOR INTERNAL USE ONLY TOWN OF WAPR
,T
m-. PP g _.. n for Pub i r be � 'to &O,
.. l� ati�r
Received by:Joseph P. Paoloni ❑ 5 :k
Lynii O'Dell 1
Lori McConologue
Date Received: /
FOIL Ser. #: t..
DEPARTMENT:
ASSESSOR
ACCOUNTING
❑❑
CODE ENFORCEMENT
[.
PLANNING
❑.
ZONING
❑
FIRE INSPECTOR
❑'',
HIGHWAY
1-1
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
❑
TOWN CLERK
El
WATER/SEWER
❑
DOG CONTROL OFFICER
❑
TOWN ENGINEER
❑
TOWN ATTORNEY
❑
Boding Depaft�trrtlt
Town of Wapp. ira ger
FOR DEPARTMENT USE ONLY
Date Received by Dept 3 /
Department Head approval:
(init)
Date Applicant Contacted: 3 /,Z, / �2_
Date FOIL, fulfilled or denied: / . /
Closed by: ...
Date:
/r /2
Notes: f_ v . - i
e 7.
Amount 6ue: Pages for a total of $
Name: 3 _1 � 0 _J check here if you are
Address: r c: requesting that the records
cepa? ct be mailed to this address.
Agency or firm:
Telephone #: (-41FAX #:
Email address:
SPEC FIC DESCRIPTION OF RECOR :
FORMAT OF RECORD (if available)
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
I request that the records be sent via e-mail to the address listed above
F_ I request that the records be faxed to the number listed above
MOHAMMAD ISTAN
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
(845) 297-6256
FEES PAI®
Reference:
6258-03-273193-0000
Lucas, Regina
1 Schnabl Ct
03/23/2023
Date Fee Check No. Receipt No. IPayType Amount
03/23/2023 1 COPIES 2023-00452 1 CASH $2.25
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 03/23/2023