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Forms Can Be Submitted via Email to cleatliei-wood@townofwappingemy.gov and
lodell@townofwa erta:y oovv or in person./via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph. P. Paoloni ❑
Cooper Leatherwood ❑
Lynn O'Dell 11
Date Received: ®/ / a
FOIL Ser. #: ao
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
El
CODE ENFORCEMENT
PLANNING
ZONING
❑
FIRE INSPECTOR
[J
HIGHWAY
11
RE, CEIV'ER OF TAXES
❑
RECREATION
❑
SUPERVISOR
TOWN CLERK
WATERISEWER
DOG CONTROL OFFICER
❑
TOWN ENGINEER
TOWN ATTORNEY.'"
❑
Name:
Address:
Davfld Mineer
TOWN OF W
ApI'
e alion for Public,
6\� FOIL REQ
Po Bax 2202 Cedar City, UT 84721
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FOR DEPARTMENT USE ONLY
Date Received by Dept ®/ n
Department Head approval:
(init)
Date Applicant Contacted: I � a / L_0J_30
Date FOIL fulfilled or denied: 103 P/
Closed by: l
Date:
Notes: im
Amount Due: Pages for total of $ — a
U+
Agency or firm:
Telephone #: ( 4,91) 263 - 0114 FAX #: ( ) -
Email address: data ta"7,constructanrnonitor.corn
❑ check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
Requesting copies or a. report of all issued building pen -nits from 1011/2023 - 10/31/2023.
Report to include: permit number, issue date, site address, description of work, valuation of jab, contractor and owner information. p
D
FORMAT OF RECORD (if available)
❑I 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
A 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