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Forms Can Be Submitted via Email to lode I I@ towiiofwappingerny. gov or in person/via mail to 20 MiddlebUsh
Rd Wappingers Falls, NY 12590
a �' e eNed
FOR INTERNALISE ONLY TOWN OF PINGER
fication for PublicAgc&A 04ecords
Received by: Joseph P. Paoloni
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Lynn O'Dell I
Lori McConologue FL,—"
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
El
CODE ENFORCEMENT
Fq'
PLANNING
7
ZONING
FIRE INSPECTOR
HIGHWAY
F1
RECEIVER OF TAXES
El
RECREATION
11
SUPERVISOR
Ll
TOWN CLERK
WATER/SEWER
LI
DOG CONTROL OFFICER
11
TOWN ENGINEER
1-1
TOWN ATTORNEY
1j
Name:
Address:
Budding Department I
Town of Wi 1" NIP
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
il "n I t
Date Applicant Contacted:
Date FOIL fulfilled or denied: 2I �q
Closed by:
C
Date: 0't /,23
Notes: Z.5C'1Ctjnc'd opij e
Ovi2 I j Cc 11 L�-1
Amount b6c: - Pages for a total of $
check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: FAX #:
Email address: PH-% t dv'
SPECIFIC DESCRIPTION OF RECORD:
.. ...... ... ....... .. . ...
. ............. . . ... .....
FORMAT OF RECORD (if available)
F 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
lw�� 1. request that the records be sent via e-mail to the address listed above
F I request that the records be faxed to the number listed above