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2024-133Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to ImceoaIologue(c-i),townofwappingcrny.gov or robins onCc�,townofwappingcrny.g,ov or in person/via mail to 20 Middlebush Rd Wappingers Falls„ I'vY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni Lori McConologue Grace Robinson Date Received: ! / FOIL Ser. #: DEPARTMENT: ASSESSOR ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY [� RECEIVER OF TAXES ❑ RECREATION E SUPERVISOR ❑ TOWN CLERK ❑ WATER/SEWER ❑ DOG CONTROL OFFICER TOWN ENGINEER Name: Address: M TOWN OF WAP PI G❑R Application for public Access to Records FOIL REQUEST �z h Date Received by Dept Ll/ + Department Head approval: . zt) Date Applicant Contacted: / /. / r Date FO fulFlled r denied: Closed by: Date: 1 / r Notes: Amount Due: Pages for a total of S „ 0 Ct F-1 check here if you are requesting that the records (. tkl W/ I be mailed to this address. Agency or firm: Telephone #:') - FAX #: ) Ernail address: SPECIFIC DESCRIPTION OF' RECORD: I' z. FORMAT OF RECORD (if available) Cwt "(Y) HIrequest 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 VICTORIA CASABLANCA Date Fee 04/16/2024 Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY 12590 (845) 297-6256 Reference: T171171) Roden, Donald 94 Old State Rd Check No, Receipt No. PayType Amount 104/16/2024 1 COPIES 2024-OOS68 I CASH $2.00 1 This is a receipt for payment of fees. This is not a building permit. Date Printed: (14/16/2024