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2023-204Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to lodellLallownofwappingerny.go or Imcconoloc,,ue@,townofwai)pingemy,gQv or in person/via mail to 2(l Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni 11 Lynn O'Dell 0 Lori McConologue e Date Received: FOIL Sen #: "�D! DEPARTMENT: ASSESSOR D ACCOUNTING CODE ENFORCEMENT PLANNING ZONING FIRE INSPECTOR HIGHWAY RECEIVER OF TAXES 0 RECREATION 0 SUPERVISOR 11 TOWN CLERK 0 WATER/SEWER F� DOG CONTROL OFFICERM TOWN ENGINEER TOWN ATTORNEY TOWN OF WAPPMGER Application for Public Access to Records Received FOIL PEaUST 0 j ppin _77 Mn f V -rown Clem""BUIldilig Depattro&,L S":! ry TOWN OFWAPPINar-A FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval: Date Applicant Contacted: Date FO " fulfilled 1,, denied: Closed by: Date: Notes:"c" ,wa loll, 7 imi) Amount Duc: — Pages for a total of $ Name: j4V%Z,6,. C-a"q6\k V' Fj check here if you are Address. requesting that the records beipiled to this address. Agency or firm: �r<X1 (z L!V-W\ W 10 Telephone FAX Email address: A PIA;_ 0Z_ C-1 49P SPECIFIC DESCRIPTION OF RECORD: wo 'PA07 ..... . . ...... FORMAT OF RECORD if available) 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 F] I request that the records be sent via e-mail to the address listed above E] I request that the records be faxed to the number listed above