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Forms Can Be Submitted via Email to L'Ale 11 r�'�"tov no�fwamaiR�� or in person/via mail to 20 MiddlebLiSli
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by. Joseph P. Paoloni F.
Lynn O'Dell
Lori McConologue
Date Received:
To vV I
FOIL Ser.:
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Departmeritt-lead approval:
—
10
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DE�'PA�RTMENT:
Date Applicant Contacted.
ASSESSOR
FACCOUNTING
Date FOIL fulfilled or denied:
Closed by:
CODE ENFORCEMENT
PLANNING
Date:
ZONING
Notes:
FIRE INSPECTOR
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HIGHWAY
RECEIVER OF TAXES
RECREATION
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SUPERVISOR
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TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER U
TOWN ENGINEER
TOWN ATTORNEY
TOW.OF WAPPINGER
ece, Application for Public Access to Records
'V(z-d FOIL REUE
FOR DEPARTMENT USE ONLY
Date Received by Dept
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Departmeritt-lead approval:
—
(init)
Date Applicant Contacted.
Date FOIL fulfilled or denied:
Closed by:
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_
Date:
Notes:
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Name: Marianne Nardulli check here if You are
Address: 22 West Main St, Ste 14 requesting that the records
Patchoque, NY 11772 -
Agency or firm: McLa,r,ens File # M21.026044 be mailed to this address.
Telephone #: ( 631 ) 318
4472 FAX #: (631 ) Z8-9- 0223'
Email address: marianne.nar ' ..110mclarens com —
SPECIFIC DESCRIPTION OF RECORD:
Requesting the fire department and Firp Hnrckl
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with reference to a fire occLirrin
MU-Pin-g-e—rs Falls, NY 12.r)qn
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FORMAT OF RECORD (if available)
request to be notified when I can conic to inspect the record(s) described above
request Copies Of the records described above and agree to Pa:Y the cost of such records in
accordance with the fee schedule on the back Of this application
request that the records be sent via e-mail to the address listed above
request that the records be faxed to the number listed above