2023-167Click Here To Search Our Public Records Database Before Submitting Request �A�d
Forms Can Be Submitted via Email to lodell(Li)fwappin
towno�leriiv.f-yovperson/via ,oi�iii persoiamaiPOD iN A ebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL, USE ONLY
Received by: Joseph P. Paoloni j
Lynn O'Dell
Lori McConologue
Date Received:
FOIL Ser, #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CI
CODE ENFORCEMENT
PLANNING
L1
ZONING
11
FIRE INSPECTOR
Ll
HIGHWAY
F1
RECEIVER OF TAXES
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RECREATION
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SUPERVISOR
Ll
TOWN CLERK
F1
WATER/SEWER
El
DOG CONTROL OFFICER
L1
TOWN ENGINEER
7
TOWN ATTORNEY
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Name: /VPI/11(�116
Address: _X)f)
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BiAlMng DepartMent 1 7P
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FOR DEPARTMENT USE ONLY
Date Received by Dept '- I.2
Department Head approval:
(init)
Date Applicant Contacted: /a
Date FOIL fulfilled or denied: 5' / ISS-,
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Closed by:
Date-,
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check here if you are
requesting that the records
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Agency or firm: '
Telephone #: 7) FAX #:
-
Email address:
SPECIFIC DESCRIPTION OF RECORD:
1727 leo�IA,, 376
PC,
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FORMAT OF RECORD (if available) �/271r3 �:q:)00e GL,/ LVI W 9,11"d a,4
fX'�'Pev. Ccp/01 .
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
F. I request that the records be taxed to the number listed above
05/18/2023
Town of Wappinger
20 Middlebush Rd,
Wappingers c=alls, NY 12590
(845) 297-6256
FEES PAID
d
Reference:
Global XYAB Corp 6259-01-478772-0000
Global XYAB Corp
1797 Rowe 376
Date Fee Check No. Receipt No. PayType Amount
05/18/2023
COPIES
2023-00863 ]CREDIT
$65.39
CARD
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 05/18/2023
To-jr, Of Wrlr}pirteer
B411ding
20 Mlckll6-ush Rd
Wappingers FU S. HY. 12550
Phone. 845-297-4158
05,,18.,23 10:22
PSerchant ID: 2404170
Snuersee 11: 001
Car d Type AMEX
Audi. Cade: 8118690
Acct. No: �xxx'xxx�1002
Entry Mode : CHIP
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APPLICATI AMERICAN EXPRESS
CUM SIGN
AID RQi�000002F010801
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I agree to pav theaf to amount
HCCor'd[n9 tO arU i39U - a9reement
(Mar agreement if credit voucher)
Ne nwreciatc'�our-vaye�nfT''
Thank Y6tl Veru I1LiC114
Detchess ProPr.1'nt
Printing I Copying I Design I Mailing
1299 Route 9 Ste 105
Wappingers Falls NY 12590
845-298-8898
Accounts Payable
Town of Wapoinger
20 Middlebush Road
Wappingers Falls NY 12590
[—] PAID IN FULL CSR — Date —
Cash Debit Customer Called Emailed
Check 0 Date
Charge I VISA MC AMEX DISCOVER
/23
SHIP TO:
Town Of Wappinger
20 Middlebush Road
Wappingers Falls NY 12590
Fax: 297-4558
ACCI NO.
ORDERED BY PHONE YOUR ORDER NO. PREPARED BY
SALES REP
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Dutchess ProPrint , 1299 Route 9 Ste 105 - Wappingers Falls NY 12590 - 845-298-8898 (pri nt# 1)
TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE.