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FormsCanBe Submitted via Email to Imeconolosue(i�;townofwaiii)ingemy.�,)ov or
grobinson(a-),to,wnofwMpingemy.go or in persorl/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni Cl
Lori McConologue El
Grace Robinson L1
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
El
ACCOUNTING
Er
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
El
SUPERVISOR
TOWN CLERK
El
WATER/SEWER
❑
DOG CONTROL OFFICER
TOWN ENGINEER
F]
TOWN ATTORNEY
0
TOWN OF WAP,PfNGER
Application for Public Access to Records
FOIL REO UEST
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
Date Applicant Contacted: t -7 /93
Date: FOIL fulfilled or denied: I c-� -7
Closed by.
Date: jg/j_/z
Notes: err0J'e_j ccl�
Amount Due: —Pages f& a total of $
Name: Patricia Gunn ®check here if you are
Address: Levine & Levine, 2 Jefferson Plaza, Suite 100 requesting that the records
Poughkeepsie, NY 12601 be mailed to this address.
Agency or firm: Levine & Levine PLLC
Telephone #: (845 452 - 2350 _ FAQ :M (845 ) 473 -2200
Email address: tricja@!qyinelevinelaw.com
SPECIFIC DESCRIPTION OF RECORD:
Please email me a copy of the certificate of compliance for the recreation room inspected and approved by Susan Dao on 11/27=23.The property
is 16 Dutch Court, Wappingers Falls, NY 12590, the owner is Sevedy Whalen.
FORMAT OF RECORD (if available)
H 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
I request that the records be faxed to the number listed above