100FOR INTERNAL USE ONLY
Received by: Chris Masterson ^
Christine Fulton ^ j
~~~ ~
Date Received: _ /~- /
FOIL Ser. #: ~Cw
DEPARTMENT:
ASSE C~
ACCOUNTING ^
CODE ENFORCEMENT C$
PLANNING ^
ZONING ^
FIRE INSPECTOR ~
HIGHWAY ^
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK C~
WATER/SEWER ^
DOG CONTROL OFFICER ^
TOWN ENGINEER ^
TOWN ATTORNEY ^
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FAIL REQUEST,
Jfu tonc~towriofwappinger . us
FOR DEPARTMENT USE ONLY
Date Received by Dept _~_~
Department Head approval:
(i )
Date Applicant Contacted:
Date FOIL fulfilled or denied:
Closed by:
Date:
Notes:
Amount Due:
~ ~t3
- - ,
Pages for a total of $ ~~„ ~
Name: Sharon Froedden for Emily Pereira ~ check here if you are
Address: 21 Fox Street requesting that the records
Poughkeepsie, NY 12601 be mailed to this address.
Agency or firm: The Chazen Companies
Telephone#:( 845)454 - 3980 FAX#: (845) 454 -4026
Email address: epereiraQchazencompanies . com
SPECIFIC DESCRIPTION OF RECORD:
All records for the Agustin and Jane Rodriguez Property (Fomer LaFonda Del Sol
Restaurant) located at 601 Old Route 9N. Tax ID 6157-02-542585. Pertinent informal
from the Assessors office, Building Department, and Fire Departments includes
current and historical ownership cards, ownership history, building permits,
site plan maps, records of fires, records of petroleum/chemical storage, etc.
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 a-mail to the address listed above
C~ I request that the records be faxed to the number listed above
ion