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284Clic.k Here To Search Our Public Records .Database Before Submitting Request Forms Can Be Submitted via Email to li-nccoicolo gtie c� townofwa a in er-ii gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received b Jos P Paolonii Lori McConologue Date Received: / { FOIL Ser. #: DEPARTMENT: ASSESSOR ACCOUNTING CODE ENFORCEMENT PLANTING ZONING FIRE INSPECTOR HIGHWAY RECEIVER OF TAXES RECREATION SUPERVISOR TOWN CLERK WATER/SEWER DOG CONTROL OFFICER TOWN ENGINEER TOWN ATTORNEY TOWN OF WAPPINGER Application for Public Access to Records QUEST YY�3 uyyjilya�Y,� lg D'PP "y, yti�rt�e�r(l' �N ___1-___'._!A_ j OR DEPARTMENT USE ONLY Date Received by Dept " / f Z / w Department Head approval: •crit) Date Applicant Contacted: / / 1 Date FOIL fulfilled or denied: / ( . / Z "> Closed by: Date: Notes: -- .,> C" -cur Arnount Due: 4_ Pages for a total of S ,• Name: Z,,6012CIA _ g AA,dcheck here if you are Address: k, d requesting that the records \1\f 0. )x r-,,),- r ` ,Ct; P,,\ t-2_'Tgcy be mailed to this address. Agency or finai: C1' Telephone ##: (COA )I " - (2 FAX ##: Email address: /_. pE r,q fl •:6,D C,r SPECIFIC DESCRIPTION OF RECORD: FORMAT OF RECORD (if available) Town of inger I request to be notified when I can come to inspect the record(s) 0d I request copies of the records described above and agree to pay Tte, cost omsuc 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 LEDREIA RIDDICK Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY 12590 (845) 297-6256 FEES PAID Reference: 6258-04-788460-0000 Smith, Jahmar 12 Brothers Rd 09/13/2023 Date Fee Check No. Receipt No. PayType Amount 09/13/2023 1 COPIES 1 12023-01716 1 CASH 1 $1..00 This is a receipt for payment of fees. This is not a building permit. Date Printed. 09/13/2023