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2023-138Click Here To Search Our Public Records Database Before Submitting Request ecei\jed Forms Can Be Subinitted via Email to lodell@)townofwappi geM.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 I\pR 7, 1 N23 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni -1 Lynn O'Dell Lod McConologue Date Received: FOIL Ser. #: DEPARTMENT: H ASSESSOR 7 ACCOUNTING Fj CODE ENFORCEMENT F1 PLANNING 11 ZONING x FIRE INSPECTOR U HIGHWAY F1 RECEIVER OF TAXES El RECREATION F1 SUPERVISOR. H TOWN CLERK 7 WATER/SEWER F1 DOG CONTROL OFFICER 0 TOWN ENGINEER 0 TOWN ATTORNEY 11 Name: Address: Clq' f -')re �kers� RcP Wiftqvi I WQ(--rs' Fahs fV'f i o-59 & Agency or firm: 'If Telephone ##: FAX 4: Email address: 1), 11 1\) 6k t- I REO UEST APR 1720"' FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval: Date Applicant Contacted: Date FOI fulfilled,or denied: -7 Z,5 Closed by: Date:C I 17 I Z Notes: Amount Due._T_ .fol -Pages, for a total of $ � Z5 SPECIFIC DESCRIPTION OF RECORD: ............ . . . ... .. . . . .... .............. ....... . ...... .. �J check here if you are requesting that the records be mailed to this address, FOR -MAT OF RECORD (if available) F 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 Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY 12590 (845) 297-6256 FEES PAID Reference: Richard S Molinari 04/17/2023 Date Fee Check No. Receipt No. Payiype Amount 04/17/2023 1 COPIES 1 12023-00638 1 CASH 1 $0.25 This is a receipt for payment of fees. This is not a building permit. Date Printed: 04/17/2023