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Fon-r1s Can Be Submitted via Email to lodell(c-Dtownofwappingemy.frov or in perso i/via snail to 20 Middlebush.
Rd Wappingers Falls, Nei' 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni Lj
Lynn O'Dell ❑
Lori McConologUe &'
Date Received:
FOIL Ser. #: r
DEPARTlw EA NT:
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT
-lel
PLANNING
❑
ZONING
❑
FIRE INSPECTOR
HIGHWAY
�..i
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
TOWN CLERK
❑
WATER/SEWER
❑
DOG CONTROL OFFICER
❑
TOWN ENGINEER
❑
TOWN ATTORNEY
M A 2 I
Build ng
,,
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
(nit)
Date Applicant Contacted:
Date FOIL 61filled 0 denied:
Closed by:
Date:
Notes: ! l a "L&cl c
Amount Due: Pages for a total of
Name: _(- El check here if you are
Address: S Y requesting that the records
( r )n •� ilnD _� L, be mailed to this address.
Agency or firm: % ' '
Telephone #: y'3 q AX -
Email address: CV1
SPECIFIC DESCRIPTION OF RECORD:.
.
FORMAT OF RECORD (if available)
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
E I request that the records be sent via e-mail to the address listed above
I - I request that the records be faxed to the number listed above