101FOR INTERNAL USE ONLY
Received by: Chris Masterson ^
Christine Fulton ^
~~~ ~
Date Received: ~ / ~ / ! 3
FOIL Ser. #: (7
DEPARTMENT:
ASSESSOR C~
ACCOUNTING ^
CODE ENFORCF~T C~
ING ^
ZONING ^
FIRE INSPECTOR C~
HIGHWAY ^
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK C~k
WATER/SEWER ^
DOG CONTROL OFFICER ^
TOWN ENGINEER ^
.TOWN ATTORNEY ^
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
F IL REQUEST.
RECEIV°L ton~townofwappinger . us
AUG 0 5 2013 ~ ~`
BUILDING DEPARTME
TOWN OF WAPPINGE
FOR DEPARTMENT USE ONLY
Date Received by Dept ~~~
Department Head approval:
(init)
Date Applicant Contacted: _ / /
Date F ~ fulfilled denied: / /
Closed by: '/` l
Date: / /
Notes: l~~ ~~
i
Amount Due: Pages for a total of $
Name: Sharon Froedden for Emily Pereira C~ 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: epereirac~chazencompanies . 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 informa
from the Assessor's 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
C~ I request that the records be sent via a-mail to the address listed above
L~ I request that the records be faxed to the number listed above
ion