110FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni El
GFaee
C) I
Date Received:
FOIL Ser. 2-02:S
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
El
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
D
TOWN ENGINEER
TOWN ATTORNEY
Name:
Address:
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
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4 f �'R I fl, 2 t] 2 3
Ir ing Departnirpnt
IN OF WAPPINGER
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
Date Applicant Contacted:
Date FOIL f1u_1_f1_1_1e�dor denied
Q!T!__'1
Closed by:
Date:
jNotes:
Al L4e _1P
Amount Due: d1j Pages for a total of
Agency or firm:
Telephone
- FAX #:
Email address: -2, Z-'\
K 9M MR nw I CIL)m
SPECIFIC DESCRIPTION OF RECORD:
0 check here if you are,
requesting that the records
be mailed to this address,
FORMAT OF RECORD (if available)
V" I request to be notified when I can come to inspect the record(s) described
I request copies of the records described above and agree to pay the cost ofabove such records in
accordance with the fee schedule on the back of this application
request that the records be sent via e-mail to the address listed above
request that the records be faxed to the number listed above
04/10/2023
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls, NY 12590
(845) 297-6256
FEES PAID
Reference:
ZARIN KAHN 6258-03-419263-0000
VVinters, Marie
10 Fenmore Dr
Date Fee Check No. Receipt No. Payiype Amount
04/10/2023
COPIES
T
2023-00580
I
CREDIT
$6.00
CARD
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 04/10/2023
{ Towo DF Hm. pin9er
1j1FS BUI ldi 119
20 diddlehr-ush Rd
Ramingern Falls, NY. 12690
phone: 7345 297 A1573
04-110,23 10:06
! Merchant Til: 21 0670
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Ne aPweciaty Your payment!
Thank You Very Much!
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