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Foirns Can Be Submitted via Email to Irn c con o logue car townofivappincern y.rov or
grobinsoiiEt,towiiofwappingei-ny.go or inperson/via mail to 20 Middlebush Rd Wappingers Falls, Ni' 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 11
Lori McConologue
Grace Robinson E
Date Received: -
FOIL Ser, #:
111519.1-1 111a oil I Biel 9
ASSESSOR '
0
ACCOUNTING
F-1
CGDE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
0
RECREATION
SUPERVISOR
TOWN CLERK
❑
WATER/SEWER
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DOG CONTROL OFFICER n
TOWN ENGINEER
El
TOWN ATTORNEY
0
-VjQW-N OF WAPPfNGER
Application for Public Access to Records
SUilding Department
-rOWN (5r WAPPINGER
M M W-1 I
Date Receivedbv Dept
`''
Department Head approval:
,
Date Applicant Contacted: Ld1,?31)Cd-.3
Date FOIL(Milled 'r denied:
T—
Closed by:
Date:
Notes.
Amount Due: _ Pages for a total of $
Name: Amber Townsend check here if you are
Address: 18 Stonykill Road requesting that the records
Wappingers Falls, New York 12590 be mailed to this address.
Agency or firm: SCF CapiU
Telephone #: (914 )730 76100 FAX #: (914 )499 -3868
Email address: amben�sdfcapitallic.com
SPECIFIC DESCRIPTION OF RECORD:
any & all permits associated with this address, including any issuance of C/Os.
FORMAT OF RECORD (if available)
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
Fv-(] I request that the records be sent via e-mail to the address listed above
F—] I request that the records be faxed to the number listed above