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2025-186Flick Here To Search Our Public Records Database Before Submitting Request For ns Can Be Submitted via Email to lmcconolo =ue Ciao, -of*appingemy,gov or Frobinson ciltownofwa in ern . ov or in perso r tc '_70 Middldbush Rd Wappingers Falls, NY 12590 JUN 17 ZOZ5 FOR INTERNAL USE ONLYImo'' IN Vr w y-ky '11y kir k'� '+of WappirfY -plication for Public Access to Records Received by: Joseph P. Paoloni Town 4e1 .SOIL REOUES'T Lori McConologue I Grace Robinson I Date Received: FOIL Ser. #: ASSESSOR ❑ ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY RECEIVER OF TAXES 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 RECREATION ❑ SUPERVISOR ❑ TOWN CLERK. ❑ WATERISEWER ❑ DOG CONTROL OFFICER ❑ TOWN ENGINEER ❑ TOWN ATTORNEY ❑ Date Received by Dept Department Head approval: it) Date Applicant Contacted: 5 Date FOI fulfilled r denied: Closed by: Date: (I . Notes:1�' i Amount. Due: Pages for a total of $ Name: /A 0 � � � � ; � � � � � 1� /it 4--' VbrYCIcheck here if you are Address: l, f requesting that the records my, (24f 0 be mailed to this address. Agency or firm: Telephone #: ( 9i ,7) _ 14' L'7 FAX #: ( ) Email address: A t m .: ,r -vn ,,, 1_,, " 4 . r SPECIFIC DESCRIPTION OF RECORD: 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 -1coL" Mo of IT, Printing I Copying I Design I Mailing 1299 Route 9 Ste 105 Wappingers Falls NY 12590 Y 845-298-8898 C —W Accounts Payable Town Of Wappinger 20 Middlebush Road 0 Wappingers Falls NY 12590 [-] PAID IN FULL CSR Date Cash Debit Customer Called Erri Check # Date Charge visa c AMEX I DiSCOVER SHIP TO: Town Of Wappinger 20 Middlebush Road Wappingers Falls NY 12590 Fax. 297-4558 Dutchess ProPrirt . 1299 Route 9 Ste 105 , Wappingers Falls NY 12590 , 845-298-8898 (print# 1) TERMS AND CONDITIONS ARE LISTED ON REVERSE SIDE. 06/10/2025 Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY 12590 (845) 297-6256 FEES PAID Reference: 6258-04-833088-0000 Trevino Jr, Adolfo 1 Peel Ln Date Fee Check No. Receipt No. PayType Amount 06/10/2025 1 COPIES 1 12025-00912 1 CASH 1 $1.14 This is a receipt for payment of fees. This is not a building permit. Date Printed: 06/10/2025