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Forms Can Be Submitted via Email to lodell@townofwaor in person/via mail to 2.0 Nliddlcbush
Rd 'Wappingers Falls, NY 1.2590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni J
Lynn O'Dell
Lori MCConologue ._......... _...
Date Received: J /
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
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ACCOUNTING
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CODE ENFORCEMENT
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PLANNING
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FIRE INSPEC'T'OR
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HIGHWAY
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RECEIVER OF TAXES
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RECREATION
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SUPERVISOR
11
TOWN CLERK
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WATERJSEWER
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DOG CONTROL OFFICER
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TOWN ENGINEER
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TOWN ATTORNEY
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TOWN OF WAPPINGER
Applicatiorn for Public Access to Records
ReceivedFOIL .REQUEST
ApR 2 6 M
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FOR DEPARTMENT USE ONLY
Date Received by Dept JCi J
Department. Head approval:
(n
Date Applicant Contacted: J &
Date FOIL fulfilled or denied: J J
Closed by:
Date: / J
Arnount Due: - Pages for a total of $
Name: %r'
,� � ' !`/'C, J cbecic here if you are
Address: requesting that the records
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Agency or firm: 11
Telephone #: (-r' 5`T25.3 -'. FAX #: ( )
Email address: r- a t
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
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
L-' 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