2026-78Docusign Envelope ID: 824A3382-27AD-85838-8305-Di1F9438875B
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Forms Can Be Submitted via Email to gro bin son (k)to go w or
in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL. USE ONLY
Received by: Joseph P. Paoloni
Grace Robinson 7
Lisa Patterson _l
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
Q
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
El
RECREATION
SUPERVISOR
[�
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICERE]
TOWN ENGINEER
TOWN ATTORNEY
[�
ReceivecTOWN OF WAPPINGER
Application for Public -Co Records
APR 0 9 2026 FOIL RE
In rpt wa i
Town Clark ger
PR 14 2026
Building Department
'OWN Cif- WAPPINGER
FOR DEPARTMENT USE ONLY
Bate Received by Dept Ll
Department Head approval:
(init)
Date Applicant Contacted: q / L -IL /
Date FOIL fulfilled or denied: _ / 1 L /
Closed by:
Date:
Notes: ta hi�.1!. �$�—� Amount Due: Pages for a tota
Name: Thomas Cutignola
Address: 2537 Route 52 Hopewell Junction NY 12533
Agency or firm. Feller Williams One'VIS1on
Telephone 4: ( 845-s 2-1790 - FAX #:
Email address: tcutignola kw.com
SPECIFIC DESCRIPTION OF RECORD:
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
x I request that the records be sent via e-mail to the address listed above
1 request that the records be faxed to the number listed above