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Farms Can Be Submitted via Email to grobinsonri?towiiofvN:app:nLernv oov or
in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Grace Robinson l_
Date Received:
FOIL Ser. 9:.�?( -L
DEPARTMENT:
ASSESSOR
El
ACCOUNTING
7
CODE ENFORCEMENT
`._
HIGHWAY
El
RECEIVER OF TAXES
RECREATION
[�
SUPERVISOR
TOWN CLERK
WATEWSEWER
El
DOG CONTROL OFFICER D
TOWN ENGINEER
❑
TOWN ATTORNEY
D
FOR DEPARTMENT USE ONLY
Date Receiv6d by Dept
Department Head approval:
Date Applicant Contacted:
Date FOI(fulfill or denied
Closed by:
Date:
Notes: - 1
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Amount -Due: Pages for a total of $
Name: Kimberly Cannizzaro ]check here if you are
Address: 1136 Route 9 requesting that the records
Wappingers Falls NY 12590 be mailed to this address.
Agency or firm: Century2l Alliance
Telephone r#: ( 845 ) 381 -2888 FAX 4: } -
Email address: kimberlycannizzaro@grnaii.com
SPECIFIC DESCRIPTION OF RECORD:
Looking for any information on a previous oil tank being decomissioned in the remodel with the East 5-6 yrs.
Current heat is propane.
FORMAT OF RECORD (if available) 01,T /X1- 17a /'/.,
Irequest 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 Iisted above