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Forrns Can Be Submitted via Email to grobinson(c),townofwaptarn erny.gov or
in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Grace Robinson -I
Date Received
FOIL Ser. :
DEPARTMENT:
ASSESSOR
ACCOUNTING
❑
CODE ENFORCEMENT
❑✓
HIGHWAY
RECEIVER OF TAXES
El
RECREATION
❑
SUPERVISOR
❑
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER ❑
TOWN ENGINEER
TOWN ATTORNEY
❑
TOWN CJI WAPIPINGE
Application for Public Ac,F,,,g rds
FOIL REO UM' � M
N 2
"�Pa,M
FOR DEPARTMENT USE ONLY
Date Received by Dept I/
Department Head approval: -
rf)
Date Applicant Contacted: 1&31 6 -
Date FOIL fulfilled or denied:/ —5/ L
Closed by
Date: / 1 Z
Notes:.
Amount Due. Pages fora total of $
Name: Robert Macintyre Qcheck here if you are
Address: 100 Execuytive Boulevard, Suite 204, requesting that the records
Ossining, New York 10562 be gnarled to this address.
Agency or firm: ARQ Architecture, R.C.
Telephone #: ( 914) ) 944 - 3377 FAX #: ( 866 ) 567 -6240
Email address:rjmargpc.com
SPECIFIC DESCRIPTION OF RECORD:
We are requesting copies of any existing Architectural Plans, Property Survey(s), Open Viciation(s), Septic/Well Dwgs/Diagrams indicatirg location
E.V ui��°
FORMAT OF RECORD (if available)
HIrequest 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
0 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