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Forms Can Be Submitted via Email to lode ll@),towno ftvapget_t:ty v or in person/via mail to 20 Middlebush.
Rd Wappingers Falls, NY 1.2590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 11
Lynn O'Dell ]I
Lori McConologue I
Date Received:
FOIL Ser.
DEPARTMENT:°
ASSESSOR
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ACCOUNTING
CODE ENFORCEMENT
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FIRE INSPECTOR
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HIGHWAY
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RECEIVER OF TAXES
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RECREATION
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SUPERVISOR
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TOWN CLERK:
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WATER/SEWER
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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 WAPPI GER
Application for Public Access to Records
FOIL REO UEST
3uN o 6 2023
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"" ' POS 1RTMENT USE ONLY
Date Received by Dept / (L. /
Department Head approval:
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Date Applicant Contacted.
Date FOIL fulfilled or denied
Closed by:
Date:
Notes; k
Amount Due: Pages for a total of
Name:—
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Address: � ,,pJ701 requesting that the records
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Agency or firm: y " . .
Telephone #: F 41 C) S F70 -("M FAX #:
Email address: F 8 L) V,' , (,D,r
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
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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
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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
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