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Foams Can Be Submitted via Email to lrncconoloaue cr,��pingerny. ov or
]robinson crttav✓nofvrappinerny gov
or in person/via mail to 20 Middlcbush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph. P. Paoloni 0
Lori McConologue `4�
Grace Robinson
Date Received: / /
FOIL Ser. #: CJ _T
DEPARTMENT:
ASSESSOR
[]
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
0
SUPERVISOR
[l
TOWN CLERK
WATER/SEWER
DOC CONTROL OFFICER E ]
TOWN ENGINEER
TOWN ATTORNEY
P
Application for Public .Access to Records
\1 ed, .FML REO
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
(irit)
. u
Date Applicant Contacted:
Date FOL fulfilled, r denied: I =/
k
Closed by: `
Date:
Nates:
Amount Duc: Pages f r a total of $
Name: w F]check here if you are
Address: - requesting that the regards
be mailed to this address.
Agency or firm:
Telephone #: *67 4 j - c FAX ##: ( ) -
Email address: rs...I, , t;,-�.-11,11, 1 — .. 'i _ -.1
l(s) described above
)ay the cost of such records in
ion
ed above
EDISON CHICAIZA
Town of Wappinger
20 Middlebush ltd.
Wappingers Falls, NY 12590
(845) 297-6256
FEES PAID
Reference:
6259-04-646053-0000
Mitchell, Thomas
12 Russell Rd
01/30/2024
Date Fee Check No. Receipt No. PayType Amount
01/30/2024 1 COPIES 1 12024-00145 1 CASH 1 $4,50
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 01/30/2024