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2024-317Click Here To Search Our Public Records Database Before Submitting Request Forges Can Be Submitted via Email to Imccot]aloguc eutownofwa in Bern gov or grobinson (�townofwa ) in ern , Fov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 125901 FOR INTERNAL USE ONLY Received by: Joseph P. Paolom Lori McConologue _4 Grace Robinson Date Received: I ✓ FOIL Ser. #: ' , 31 DEPARTMENT: ASSESSOR ❑ ACCOUNTING ❑ CODE ENFORCEMENT []° HIGHWAY RECEIVER OF TAXES ❑ RECREATION ❑ SUPERVISOR D TOWN CLERK El WATER/SEWER. F] DOG CONTROL OFFICER El TOWN ENGINEER TOWN ATTORNEY TOWN OF WAPPINGER Application for Public Access to Records REO UEST SEP ) 6 202 Building DepartmWt ' TOWN OF WAPPINGER FOR DEPARTMENT USE ONLY 7�)o / j Date Received by Dept / Department IIead approval: *nit)L Date Applicant Contacted: 9 ✓ ✓ C)�H Date FOILfizlf 1 d w^;denied: / /' Closed by: Date: Nates. &' Amount Due: Pages for a total of S 'r LName:"^"t�°`' �1' � Qcheck here if you are Address: r he' -21. �.�, �, ;off requesting that the records be mailed to this address. Agency or firm: Telephone #: (111L ) i ✓ FAX #: ) - Email address: SPECIFIC DESCRIPTION OF RECORD: t zy FORMAT OF RECORD) gf available) '" ( Z01 IH 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 E] I request that the records be faxed to the number listed above Printing I Copying I Design I Mailing 1299 Route 9 Ste 105 Wappingers Falls NY 12590 845-298-8898 Accounts Payable Town Of Wappinger 20 Middlebush Road Wappingers Falls NY 12590 53 Chnste Velaria 845 297 6256 X123 ❑ PAID IN FULL. CSR Date Cash Debit Customer Called Emailed Check # Date Charge I VISA 1,90 1 AMEX i 15COVER Invoice No: Dale 76681: 09/19/24 SHIP TO: Town Of Wappinger 20 Nliddlebush Road Wappingers Falls NY 12590 Fax: 297-4558 Pay from this invoice Dutchess ProPrInt • 1299 Route 9 Ste 1D5 - Wappingers Falls NY 12596 , 845-298-8898 TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE. 1.20 0.06 0.00 1,1.4. 0.00 tA4 Terms Net 36 Days (print# 1) 1 ° U. Tj I 7 _ - �. " _ J Pay from this invoice Dutchess ProPrInt • 1299 Route 9 Ste 1D5 - Wappingers Falls NY 12596 , 845-298-8898 TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE. 1.20 0.06 0.00 1,1.4. 0.00 tA4 Terms Net 36 Days (print# 1) JOSE A. SALAZAR Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY 12590 (845) 297-6256 FEES PAID Reference: 6258-04-952180-0000 Biasotti Trustee, John 63 Brothers Rd 09/26/2024 ®ate Fee Check No. Receipt No. PayType Amount 09/26/2024 1 COPIES _ 2024-01604 CASH $1.34 This is a receipt for payment of fees. This is not a building permit. Date Printed: 09/2£/2024