2023-133Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to lodell La) tow ndL, �aing�ern. agyy or in persorJvia mail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by.- Joseph P. Paoloni L]
Lynn O'Dell 1:1
Lori McConologue V_�
Date Received:
FOIL Ser. #: 01r)
DEPARTMENT:
ASSESSOR
ACCOUNTING
❑
CODE ENFORCEMENT
E
PLANNING
ZONING
❑
FIRE INSPECTOR
HIGHWAY
❑
RECEIVER OF TAXES
0
RECREATION
0
SUPERVISOR
11
TOWN CLERK
0
WATER/SSEWER
11
DOG CONTROL OFFICER
D
TOWN ENGINEER
11
TOWN ATTORNEY
11
%k,T�;vWA
FOR DEPARTMENT USE ONLY
Date Received by Dept f /I / 14 "? -a
Department Head approval: zg�F
(init)
Date Applicant Contacted: f 0 -21
Date F011(�fulfi llc d or denied: 4
Closed by:F) _eb
Date: / U /
Notes: t_AaA) T�)4_f" K11, � -OP ,
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Amount Due: Pages for a lotal W f $
Name: �,t vA Y", 0 check here if you are
Address: l Z C +C requesting that the records
be mailed to this address.
Agency or ficin:
Telephone #: z, 2A i_FAX #:
Email address: 01\ tl <.,
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SPECIFIC DESCRIPTION OF RECORD:
4 rt `VI
/1 4 ('1i212 V.V
FORMAT OF RECORD (if available)
F) I request to be notified when I can corne to inspect the record(s) described above
J� 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
0 1 request that the records be sent via e-mail to the address listed above
1]I I request that the records be faxed to the number listed above
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