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2025-153Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to Irnccono � Awa yin crnsov or >robinson btownofwa inern ov or in personlVil snail to 2.0 Middlebush Rd Wappingers Falls, NY 12590 MAY 13 h?0 FOR. INTERNAL USE � �'VQ� �o,,� 'a ) Vii'' l i lTj " OF APP"I�`�TGE plication for Public Access to Records Received by: Joseph P. Paoloni l O'���1�,ri EST Lori McConologuc .�, O U Grace Robinson APR 2 Date Received: / FOIL Ser. #: DEPARTMENT: ASSESSOR ❑ ACCOUNTING El CGDE ENFORCEMENT HIGHWAY RECEIVER OF TAXES El RECREATION El SUPERVISOR TOWN CLERK DOG CONTROL OFFICER El TOWN ENGINEER El TOWN ATTORNEY FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval: (init) Date Applicant Contacted: LL /,- 23/,9-s Date FOIL fulfilled or denied: t4 / / Closed by: Date: Notes:, fat'r Amount Due: J26 Pages for a total of $ Name: ❑check here if you are Address: y 'C t , — ft requesting that the records be mailed to this address. Agency or firm: % Cj), Telephone : ( r q ) & . -� FAX #: ( ) - Email address: Wbryii—i-, 7 , ._ r ..r ri, rr lrxh SPECIFIC DESCRIPTION OF RECORD: Cr a 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 0 I request that the records be sent via e-mail to the address listed above 0 I request that the records be faxed to the number listed above NICKLAS CLEMENTE 11 Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY 12590 (845) 297-6256 FEES PAID Reference: 6259-04-530251-0000 Gas Land Petroleum Inc 1592 Route 376 04/23/2025 Date Fee Check No. Receipt No. PayType Amount 04/23/2025 COPA S 2025-00570 31.25 CARD This is a receipt for payment of fees. This is not a building permit. Date Printed: 04/23/2025 5AL E B 0 Id Ing Nficidlebru* Rd 1hi,jppjju},2r,,, FiIll-,. NY 1259" 8A5-297-4158 04/23!25 Merchant ID Term;Ul Auth NWIIN-11, AMOUNT; CONVENIENCE MTAL. CARE) ENTRY APPLIC,IMON Discovel CVM AID TVR IAO 1.7:444 15 240670 452-791-190 000001 02,355 ? $ 3M5 NAME NONE A00,0000 15- f01CL,� -100000001 0000008000 01!,5 "', 0%, (- -) 'J '00000009M 4800 Thank you! PoWRCHANT COPY