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Forms Can Be Submitted via Email to cleathet,,vood(<i townofwappingemv_ and
lodellL&ownofwappingemy.go or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni .l
Coop@i:-L-eath-erwood---i
rVI C C' c c�I L .
Date Received: id / 6 2d
FOIL Ser. #:
TOWN OF WAPPINGER
ReCAIV&Otion for Public Access records
FOIL REO
OCT 0 2 2O23
Tcwn of VVappin
Town Cierk.
DEPARTMENT:
ASSESSOR
E]
ACCOUNTING
F1
CODE ENFORCEMENT
V
PLANNING
L1
ZONING
171
FIRE INSPECTOR
L
HIGHWAY
F1 I
RECEIVER OF TAXES
0
RECREATION
L1
SUPERVISOR
TOWN CLERK
WATER/SEWER
El
DOG CONTROL OFFICER
U
TOWN ENGINEER
D
TOWN ATTORNEY
L
FOR DEPARTMENT USE ONLY
Date Riceived by Dept 10 a
Department Head approval:
Date Applicant Contacted: to a /on Z a
Date FOIL fulfilled or denied: /1-41
Closed by:
Date:
Notes-, j111aJf ul /,e4XA a
V
Amount Due: L. Pages for a total of $
Name: David Mineer o J check here if you are
Address: Po Box 2202 Cedar Ch, UT 84721 requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: ( 4ai) 263 - 0114 FAX 9:
L Email address: data(aDconstructionmonitor.com
SPECIFIC DESCRIPTION OF RECORD:
Requesting copies or a report of A issued building permits frorn 9/1/2023 - 9/30/2023.
Report to include: pen -nit number, issue date, site address, description of work, valuation ofjob, contractor and owner information.
.... .. .. . ...... .. ..... . ......
FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
L 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
1 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