311Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to ImcconolOgLIC_@tpNynOfwappi-ligerny,gov or
grobinsoii@,townofwappingeniy.gov or in person/via mail to 20 MiddIcbush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by. Joseph P. Paoloni 11
Lori McConologue 9--'
Grace Robinson 0
Date Received:
FOIL Ser. #:
DEPARTMENT:
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4o::)
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER ❑
TOWN ENGINEER
TOWN ATTORNEY
WAoc
�Ililding Dep
or W
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
Date Applicant Contacted:
'3
Date FO(tlfille�)o denied: Id / d, rd -_3
J j
Closed by:
Date:
JC -4-3
Notes:_ V_US Lmz ... Ia.. t�u L'( auo-,
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Amount Due: Pages fora ltotal of $
Name: Kusuma check here if you are
Address: 3517- NEW MACLAND RD POWDER SPRINGS requesting that the records
be mailed to this address.
Agency or firm: Protitle
Telephone #: (469 ) 319 -2138 FAX #: (469 ) 283 -0386
Email address: kusuma@guatreoinfocert.com
SPECIFIC DESCRIPTION OF RECORD:
Please check your records and provide the below documents for subject property,
Address: 11 Lakeside Drive Wappingers Falls NY Dutchess 12590 Owner Name: ESTATE OF JANET BENEDETTO
FORMAT OF RECORD(if available) rJ) 7
& _5 - 6q�)
✓ 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
F-1 I request that the records be faxed to the number listed above