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273 Dec. 9. 2010 3: 18PM No. 1845 P. 2 Received by: Chris Masterson 0 Christine Fulton 0 Sue Rose lr-- J~/L/ ~ U c973 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST FOR INTERNAL USE ONLY DI~e Re~~~ved: ~ {y-"-I FOII; Sec, #: , ~ '/lAP,.,,' - '/ 0 /--,~ ~" ("'"~.~~~.'~: '~':-'-~"'~G'.JI.. "" /,~~\ ~(~j~l ea.~ /-'-" ~'c:,;"" ',/ ~~ '~S_s ~()~. DEPARTMENT: ASSESSOR 0 ACCOUNTING 0 CODE ENFORCEMENT 0 PLA~G @ ZONrnNG 0 FIRE INSPECTOR 0 HIGHWAY 0 RECEIVER OF TAXES 0 RECREATION 0 SUPERVISOR 0 TOWN CLERK 0 WATER/SEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER 0 TOWN ATTORNEY 0 FOR DEPARTMENT USE ONLY Date Received by Dept /;l /1/ 10 Department Head approval: (init) Date Applicant Contacted: LdJ / f / / () Date FOIL fulfilled or denied: I..J./ J:j~~lp Closed by; ..j:? {'\..) Date: /d/ fit (iJ t -. . Ht!('(; / I Notes: ,.J.~c/(c0 ~ Amount Due: R Pages for a total of $ ,~ Name: Wendy przetakiewicz Address: 25 Corporate Park Drive, Suite C Hopewell Juncllon, NY 12533 Agency 01' firm: Povall Engineering, PllC Telephone #: (845 ) 897 - 8205 FAX #; (845 ) ~- 0042 Email addl.ess;wendyp@povallengineering.com o check here if you are requesting that the records be mailed to this address, SPECIFIC DESCRIPTION OF RECORD: We are currently working on a project at 274 New Hackensack Road ~ Tax Map No. 13-5689-6259-03-386151. We would like to view any files you have on this parcel. We would like to "Jew any previously submiUed plans and/or any approved plans on file. FORMAT OF RECORD (if available) IX! I request to be notified when I can come to inspect the record(s) described above o I request copies of the records descl'ibed above and agl'ee to pay the cost of such records In accordance with the fee schedule on the back of this appHcation o I request that the records be sent via e-mail to the address listed above o I request that the records be faxed to the number listed above g2pOYALL . ENGINEERING, PIle No. 1845 P. 1 p: 845.897.8205 25 Corporate Park Drive, Suite C f: 845.897.0042 Hopewell JuncUon, N.Y. 12533 www.PovaIlEnglneerlng.com William H. Povalllll, P.E, Profeselonal EngIneer: NY, PA, Yr, wv, OH, KV &WY CerUlled Profe88lonalln Erosion & Sediment Control (OPESC) FAX TRANSMITTAL SHEET This facsimile and the information it contains are intended to be a confidential communication only to the person or entity to which it is addressed. If you have received this facsimile in error, please notify us by telephone and return the original fax to this office by mail. DATE: December 9, 2010 TO: Chris Masterson COMPANY: Town ofWnppinger - Town Clerk FAX NO.: 845-298-1478 FROM: Wendy P.l:2etakiewic2 RE: Foil Request NO. OF PAGES: 2 (.1ncludes cmrer sheet) COMMENTS: Please see attached foil request form