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Forms Can Be Submitted via Email to Imcconolp
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FOR INTERNAL USE ONLY
Received by: Joseph P, Paolonj
Lori McConologue E]
Grace Robinson 01
Date Received:
FOIL Ser. #:
ASSESSOR
11
ACCOUNTING
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CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
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TOWN CLERK
11
WATER/SEWER
21
DOG CONTROL OFFICER 0
TOWN ENGINEER
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TOWN ATTORNEY
0
Name: Steven R. Schweitzer
Address: 400 Route 9
Fishkill, NY 12524
K43 a M ZAN 9 a MT: ffit,
F E 1-� 2 2 0 2
FOR DEPARTMENT USE ONLY
Date Received by Dept 22
Department Head approval. 7—
(init)
Date Applicant Contacted: r Q ") /,,, L,
_21
Date FOIL fulfilled or denied:
Closed by.,
Date -
C)
Amount Due: Pages for a total of
[:]check here if you are
requesting that the records
be mailed to this address.
LAgency or firm: The Builder [rev. Corp.
Telephone #: (914 ) 760 -1892 _ FAX #: (84 5 ) 897 -4546
Email address: bldrsteve(@oDtonline.net
SPECIFIC DESCRIPTION OF RECORD:
Building/Zoning dept. - to see if any open permits, and any permits on file, along with any fines etc.
Receiver of taxes - to see current taxes for yearly amount -based on assement
Water/Sewer - to get current water/sewer charges based on yearly charges
0 7
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
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