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Forms Can Be Submitted via Email to ImeconologLie(,,—t?townofwappingerny.gov or
grobiiisonra)townofwappiiigerny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni D
Lori McConologue ELI-�
Grace Robinson Ell
Date Received:
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FOIL Ser. #: '-�LC C
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ASSESSOR
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RECEIVER OF TAXES
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RECREATION
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SUPERVISOR
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TOWN CLERK
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TOWN ATTORNEY
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0.1. Building Depai tqjqg�t
'()WN OF WAPPING',ER
FOR DEPARTMENT USE ONLY
Date Received by Dept
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Department Head approval:
Date Applicant Contacted: /d
Date FOILIfilled or :enied: JY/
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Closed by:
LqDate:
Notes:
Amount Due: _ Pages for a total of $
Name: Wendy M Rodriguez ®check here if you are
Address: 48 Monroe Drive requesting that the records
Poughkeepsie NY 12601 be mailed to this address.
Agency or firrn: Exp Realty
Telephone 4:(917 )822 -4786 FAX 4:
Email address: wrrealestateOggmail-corn
SPECIFIC DESCRIPTION OF RECORD:
I'm Representing the buyer in the purchase of 10 David Loop, Wappingers NY 12524 and would
Pike a copy of all the available property _records. Thank you.
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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
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