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2024-369Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to li-nccoiio]O7LIC(cbtownofNvappingergy.gov or grobinson(cr townofwappingcrny,goy or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P, Paoloni Lori McConologue Grace Robinson F Date Received: f / FOIL Ser. #: -- DEPARTMENT: ASSESSOR 0 ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY RECEIVER OF TAXES I RECREATION SUPERVISOR TOWN CLERK WATER/SEWER DOG CONTROL OFFICER 0 TOWN ENGINEER TOWN ATTORNEY T WN OF WAPPING ER Application for Public Access to records FOIL REQ CCS - A. ' I _ 5widinrg Department 3., + Town cif wap�pinger..,_ On Yl 4 FOR DEPARTMENT USE ONLY Date Received by Dept /rte / Department Head approval: (init) Date Applicant Contacted: Date FOII lfilled r denied: I / Closed by: tl " Date: Notes: f l P regi.) kd /o, �t Amount Due: Pages for a total of $ Name: Jason Martinez [check here if you are Address: 625 US 6 requesting that the records ® Mahopac, NY 10541 be mailed to this address. Agency or firm: Keller Williams Realty Partners Telephone #: ( 347 ) 665 - 4456 FAX #: ( ) - Email address: jai sonmempireteam,com SPECIFIC DESCRIPTION OF RECORD: Property records for 26 Booth BW. To Include: survey, property card, open permits, open violations„ well inspection report„ and any certificates of occupancy, _... _ _....... _ _.._.. ...._ . _ . ......- --------._.—.._ FORMAT OF RECORD (if available) , A - Irequest 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 L! g I request that the records be sent via e-mail to the address listed above 0 1 request that the records be faxed to the number listed above