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Forms Can Be Submitted via Email to lodell&btownof4vappin erny.gov or in person/via nail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 1
Lynn O'Dell
Lori McConologue
Date Received: / !
FOIL Ser. #:a if
DEPARTMENT:
ASSESSOR
L
ACCOUNTING
CODE ENFORCEMENT
I
PLANNING
LI
ZONING
L
FIRE INSPECTOR
L?
HIGHWAY
1-1
RECEIVER OF TAXES
11
RECREATION
El
SUPERVISOR
P.L
TOWN CLERK.
WATEWSEWER
DOG CONTROL OFFICER
L
TOWN ENGINEER
IL
TOWN ATTORNEY
11
Naive: �
Address:
Agency or firm:
Telephone #:
Email address:!�
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T OCSF WAPPNGER
PnIOfar Public Access to Records
#SIL REO UEST
FOR DEPARTMENTUSE ONLY
Date Received by Dept / /
Department Head approval:
(lnit)
Date Applicant Contacted: / �_ /
Date FOIL fulfilled or denied:
Closed by:
Date:
Amount Due: __L Pages for a total of S
FAX
L check here if you are
requesting that the records
be availed to this address.
He
I
SPECIFIC DE CRIPTION O RKORD:
1
FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
ff 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