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Forms Can Be Submitted via Email to lmcconoto ue(ci townof appingem_y.gov or
grobinsoii@townofwappingerny.gov or in Person/via mail to 20 Middlebush Rd. Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 71
Lori McConologue -
Grace Robinson EI
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
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ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
El
RECEIVER OF TAXES
El
RECREATION
SUPERVISOR
TOWN CLERK
D
WATERS EWER
El
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
El
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BuNding Department
Town Of .
Wappinge
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Date Received by Dept /i'
Department Head approval: Winit)
Date Applicant Contacted://
Date FOIL fulfilled or denied:. Q -_�>/ 073
Closed by:
Date: //
Notes: r 6110 d'd11ti1 ,
Amount Due:- Pages for a total of $
Name: Frank Pingaro ®check here if you are
Address: 52 Lane Gate Rd. requesting that the records
Wappingers Falls, NY 12590 be mailed to this address.
Agency or firm:
Telephone #: (845 ) 463 -2343 FAX #: ( )
Email address: frank@pingaro.com
SPECIFIC DESCRIPTION OF RECORD:
Documentation/desription/diagram/etc. for the septic system at 52 Lane Gate Rei.., `town of Wappinger.
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