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Forms Can Be Submitted via Email to lnicconoloQue &tolvnof vappingerny,go or
grobiiison((-r�,towlio wappingerny.go or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P, Paolorii
Lori McConologue -1
Grace Robinson F
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
R�
HIGHWAY
F�
RECEIVER OF TAXES
El
RECREATION
11
SUPERVISOR
0
TOWN CLERK
0
WATER/SEWER
El
DOG CONTROL OFFICER F-1
TOWN ENGINEER.
El
TOWN ATTORNEY
17
Name: Ryan Mr-Clu;skey
TOWN OF WAPPINGER
Application for Public Access to Records
REQUEST
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
Date Applicant Contacted
lr'�
Date FOIL fulfilled or denied: ju
Closed by:
Date:
Notes:
AmounFD_u� 1(2�;_ -Pa-
ges for a total of $ . 1. �
Address: 18 William Street, Fishkill. NY 12524
Agency or firm: Reagan Mae Contracting LLC
Telephone #: (845 ) ?42 -6411 FAX #:
Email address: Byqn@rrqq0rjtraq �n
Iz
R]check, here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
buidling permfts, renovation permits, acceptance paperwork, inspection records and fire sprinkler system drawing for
Chelsea Ridge Mail located at 1 Chelsea ridge mall, Wappingers Falls NY 12590 -for the last 30 years.
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4c; ,
PORMAT OF RECORD (if available')
I request to be notified when I can come to inspect the record(s) described above
Hv 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
1 request that the records bc faxed to the number listed above
RYAN MCCLUSKEY
Town of Wappinger
20 Middiebush Rd.
Wappingers Falls, NY 12590
(845) 297-6256
FEES PAID
Reference:
6056-02-635539-0000
Chelsea DHC LLC
1-8 Chelsea Ridge Mall
10/18/2023
Date Fee Check No. Receipt No. PayType Amount
10/18/2023 1 COPIES 1 12023-02027 1 CASH $31.25
'This is a receipt for payment of fees. This is not a building permit.
Date Printed: 10/18/2023