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Forms Can Be Submitted via Email to IniccotiolOgLie(i�townofwappingerny,go or
robinsoii(ci')townof-�vapp,ingemy.go or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 1-1
Lori McConologue R�
Grace Robinson F
Date Received:
FOIL Ser.
DEPARTMENT:
ASSESSOR
El
ACCOUNTING
E]
CODE ENFORCEMENT
[71
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
WATER/SEWER
17]
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
Name: Koushik
Address: 3517- NEW MACLAND RD
POWDER SPRINGS GA 30127
TOWN OF WAIS GER
Application for Public Access to Records
eCO3-Vqe,d FOIL REOUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept / Z6
Department Head approval: Af
(init)
Date Applicant Contacted: 13
Date FOIL fulfilled or denied:
Closed by:
Date: I? / 6 / Z'3
Notes: 0(it V 4 e 0 W -4 S
. o V b j 0 1 o (i
j
Amount Due: — Pages for a total of
F-1 check here if you are
requesting that the records
be mailed to this address.
Agency or firm: protitleusa
Telephone #: ( 469 ) 283 - 0441 FAN #: ( 469 ) 319 -2138
Email address: Koushik@quatreoinfocert,com
SPECIFIC DESCRIPTION OF RECORD:
Open or Expired Permits Open Code Violations I Citations Demolition Orders Special Assessments (Not Included in Tax Bill) Open Liens
Address: 14 BEECHWOOD CIRCLE WAPPINGERS FALLS NY 12590 Owner name: MATTHEW EDWARDS
Section: 6157 Block: 04 Lot: 684449 Date Range; 01/01/1990 — Present date
Check your records and let us know what is total lien payoff and total what and sewer balance as Good Through 12(2012023
... ... . . . . ..... ... . . . ....... . . .. ..... .. . .....
FORMAT OF RECORD (if available)
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
Yj 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