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2023-256Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to hxxcconologue(btownofwappingeniy.gov or grobijis,o 7(�townof'wappingetjiy.gou or in person/via mail to 20 MiddlebLish. Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni 1 Lori McConologue Grace Robinson F", Date Received: FOIL Ser. #: DEPARTMENT: ASSESSOR ❑' ACCOUNTING CODE ENFORCEMENT H// HIGHWAY ©, RECEIVER OF TAXES ❑ RECREATION SUPERVISOR ❑ TOWN CLERIC ❑ WATER/SEWER DOG CONTROL OFFICER TOWN ENGINEER ❑ TOWN ATTORNEY TO" OF WAPFTNGE cation for Public Ac ,ess to Records FOIL REO _W j." r a 99 l 3t i) Party*nt FOR DEPARTMENT USE ONLY Date Received by Dept ell Department Head approval: i Date Applicant Contacted: Date FOIL e!le"enied Closed by: Date: jy,/ -_ / / ,/ der Notes: ,+ y e y Amount Date: Pages for a total of $ �. Name: ®check here if you are Address:. -t. requesting that the records Ivo AX IS Tc ( be mailed to this address. Agency or firrn: Telephone #: ( ) - FAX #: ( ) - Email address: SPECIFIC DESCRIPTION OF RECORD: 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 I request that the records be faxed to the number listed above KADIE BASCHNAGEL Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY 12590 (845) 297-6256 FEES PAID Reference: 6258.03-337027-0000 Pansa, Richard 35 Kent Rd 08/14/2023 Date Fee Check No. Receipt No. PayType Amount 08/14/2023 1 COPIES 1 12023-01496 1 CASH 1 $1.00 This is a receipt for payment of fees. This is not a building permit. Date Printed: 08/14/2023