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Forms Can Be Submitted via Email to lodcll'c,t
� ownofwappingemy.gov or
Iiiieconologyue@townofwapi)in�v.aov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY
12590
FOR INTERNAL USE ONLY TOWN OF WAPPINGER
Received by: Joseph P. Paoloni 0, Application for Public Access to Records
Lynn O'Dell pcei\jed FOIL REQUEST
Lori McConologue
Date Received:
FOIL Ser. #: ot \,NaPWVg
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DEPARTMENT:
ASSESSOR FOR DEPARTMENT USE ONLY
ACCOUNTING
CODE ENFORCEMENT Date Received by Dept -7 -7
PLANNING Department Head approval:
ZONING
FIRE INSPECTOR Date Applicant Contacted:
HIGHWAY F 1
RECEIVER OF TAXES 0 Date FOIL fulfilled or denied: S, 1,-9 LP
RECREATION ❑
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SUPERVISOR Closed by: 1,_
TOWN CLERK
Date:
WATER/SEWER F�
DOG CONTROL OFFICER Notes:
TOWN ENGINEER F-1
TOWN ATTORNEY 7' Amount Due: Pages for a total oF$
Name: 11111CAAN-t) check here if you are
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Address: requesting that the records
be mailed to this address.
Agency or firm:
Telephone FAX [00
Email address, W - )7
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FORM OF RECORD (if available) r c5 6 -- G, , -7d 0 2
I 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
I request that the records be sent via e-mail to the address listed above
E] I request that the records be faxed t th umber 9l
i stel above
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