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Forms Can Be Submitted via. Email to Inicconoto ue(cri,.townofwappingerily,gov or
o�robit1so11(�townof�N.a ijl erny. g ov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni El
Lori McConologue
Grace Robinson F
Date Received:
FOIL Ser..
DEPARTMENT:
ASSESSOR
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ACCOUNTING
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CODE ENFORCEMENT
[✓
HIGHWAY
a
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
El
WATER/SEWER
0
DOG CONTROL OFFICER [�
TOWN ENGINEER
TOWN ATTORNEY
0 13' M23J.
OWN OF WAPPINGER
FOR DEPARTMENT USE ONLY
Hate Received by Dept /'S
Department Head approval:
11:)
Date Applicant Contacted: 116,;, /
Date FOI full`illed r denied: / 6y / X
Closed by: ,.
Date:
Notes: +ti ° `�' 4
Amount Due: Pages for a total of $
Name: ANDREW TABAK [check here if you are
Address: 3535 HILL BOULEVARD, SUITE M requesting that the records
YORKTOWN HEIGHTS, NY 10598 be mailed to this address..
Agency or firm: THE LAW OFFICE OF MATTHEW P. METZ
Telephone #: ( 914 ) 243 -5563 FAX ,#: ( 914 ) 243 -0296
Email address: ANDREW@aM'PMETZLAW.COM
SPECIFIC DESCRIPTION OF RECORD:
11 DV/ YER LANE, LOOKING FOR PARCEL HISTORYICOPIES OFILIST OF ALL PERMITS AND COS. CCS ETC FOR THE PROPERTY
COPY OF SURVEY IF AVAILABLE
COPIES OF PLANS IF AVAILABLE
FORMAT OF RECORD (if available)_.Z1
IH 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
E] I request that the records be faxed to the number listed above