2025-310Click I lore To Search. Our Public Records Database Before Submitting, Request.
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ingers Falls, NY' 12590,
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni.
Dori McConologi:ie
Grace Robinson
Gate Received:
FOIL Ser, #; ���.�� C)
ASSESSOR
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ACC0U_N l"ING
CODE ENFORCEMENT
HIGHWAY
RECEIVER CSF TAXES
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RECREATION
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SUPERVISOR
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TOWN CLERK
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WATEWSE ER
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DCG CONTROL OFFICER ❑
TOWN ENGINEER
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TOWN ATTORNEY
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TOWN OF WAFPI�%1GER
Application for Public Access to Records
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FOIL R
Department
FOR DEPARTMENT USE ONLY
Lute Received by Dept f
Department Ilead approval:
°nth
Date Applicant Contacted:"I 1:
Date FOIL fulfilled or enied: IbI ' l
Closed by:� - r
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Date: &I _...
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Notes:
Amount Due: Pages for a total of
Name: Asif Mian
Address:9 Liberty Street _
Chewsea, NY 12512
Agency or firm: .
Telephone 4: (917 } 209 -5177 FAX #:
Email address: asifm arr@ anil.cyam
SPECIFIC DESCRIPTION OF RECORD:
Building vioiations, Permits, Fines, etc
FORMAT OF RECORD (if available)
❑check here if you are
requesting that the records
be mailed to this address.
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