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Forms Can Be Submitted via Email to lodell c townofwappingerriy.gov or in person/via mail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY TORN OF WAPPINGER
tion for Public Access to Records
Received by: Joseph P. Paoloni ❑ Recm FOIL REQ UEST
Lynn O'Dell
❑I 4-'
Isori McConologiue It FEB 2 7 2023
Date Received: / f T wn of Wappin
FOIL Ser.
Town clerk,
DEPARTMENT:
ASSESSOR
El
ACCOUNTING
CODE ENFORCEMENT
V
PLANNING
F1
ZONING
C
FIRE INSPECTOR
❑
HIGHWAY"
L1
RECEIVER OF TAXES
11
RECREATION
SUPERVISOR
❑
TOWN CLERK
Cl
WATER/SEWER
11
DOG CONTROL OFFICER
❑
TOWN ENGINEER
El
TOWN ATTORNEY
D
AR
Date Received by Dept
Department Head approval:
Date Applicant Contacted:
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Date FOIL fulfilled or denied: 2- / 2- 11 '
Closed by:'Rev
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Date:
Notes: / r, / J/71/ c r IC
Amount. Due: Pageg for a total of $
Name:h ❑ check here if you are
Address: requesting that the records
,r- r be mailed to this address.
Agency or firm:),.
Telephone #: ( ) Y - _U212 FAX : ( ) -
Email address:it ' . CCiJ
SPECIFIC DESCRIPTION OF R CORD:
Oe
.
FORMAT OF RECORD (if available)
„ _/_ ("),_/ - , J, _76-1
❑ 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
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