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Forms Can Be Submitted via Email to lodell@townotwappincr y�av or in person/via mail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received b: Joseph P. Paoloni
Lynn O'Dell
Lori MCConnlogue U `"
Date Received:
FOIL Ser. #w`:}
DEPARTMENT:
ASSESSOR
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ACCOUNTING
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CODE ENFORCEMENT'
PLANNING
L1
ZONING
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FIRE INSPECTOR
Li
HIGHWAY
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RECEIVER OF TAXES
F1
RECREATION
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SUPERVISOR)
TOWN CLERK.
Ll
WATER/SEWER
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DOG CONTROL OFFICER
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TOWN ENGINEER
11
TOWN ATTORNEY
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Address: k k Q.—-_
TOWN OF WAPPfNGER.
Application for Public Access t ords
'01L REO��W
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Tow,,, of
FOR DEPARTMENT USE. ONLY
Date Received by Dept 3 1'1
Department Head approval:
(init)
Date Applicant Contacted: 3 /
9-2
Date FOIL fulfilled or denied: 3 127/
Closed by:
Date: 101Qj
Notes: t` V ata ,.-
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Amount Duc: — - Pages for a total of $
Agency or fann:.
Telephone ##: ( ) 10 - 3'~I t5 FAX ##: ( ) -
Ernail address:<.�
check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)
F I request to be notified when. I can came to inspect the record(s) described above
L 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
F I request that the records be faxed to the number listed above