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2023-164Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to lode1l2ctownofwaj2pingcrny.go or lineconologuc@,townofwqpl2iligcmy.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni 0 Lynn O'Dell [I Lori McConologue Date Received: FOIL Ser. #: DEPARTMENT: ASSESSOR 6�p_ r— �( �(—Ce(4-e 5 A j �'Q I LC. hllt 0 12Z,�,, ACCOUNTING CODE ENFORCEMENT PLANNING ZONING FIRE INSPECTOR HIGHWAY RECEIVER OF TAXES RECREATION SUPERVISOR TOWN CLERK WATERJSEWER DOG CONTROL OFFICERE-1 TOWN ENGINEER El TOWN ATTORNEY 1-1 Date Received by Dept Department Head approval: Date Applicant Contacted: Date FO fulfilled r denied: lop PIN- I Udding Departn-j(-Mt let 3 L Closed by: Date: /X)3 Notes: Amount Due: Pages for a total of $ Name: GN. s5 LW(rViq0j []check here if you are Address: to ui� OF) [ 1 i Q, wag, requesting that the records Z�50 be mailed to this address. Agency or firm: L/ Telephone #: (C(Ij )763 -��7 FAX #: Email address: SPECIFIC DESCRIPTTON OF RECORD: 461r� nd 4VP-e(,uet( P-oa 6�p_ r— �( �(—Ce(4-e 5 A j �'Q I LC. hllt 0 12Z,�,, r, FORMAT OF RECORD (if available) & �T� _& q, 7,s-Vj 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