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Forms Can Be Submitted via Email to lodell(Lkowpofwappingemy, ov or
Iniccoiiolof,,uer towniofwa i vitt ern ov or in person/via mail to 201 Middlebush Rd Wappingers Falls, NY
1.25901
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 11
Lynn O'Dell"
Lori McCanologUe ..
Date Received:
FOIL Ser. #:-c" -
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
M
CODE ENFORCEMENT
F
PLANNING
ZONING
EJ
FIRE INSPECTOR
HIGHWAY
❑
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
TOWN CLERK
�❑
ATERJSEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
Application for Public Access to Reds
REOURAT-eiilgld
ev
a ' ,v t, s
. Department,.
Town of Wappiing;er CV
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval
Date Applicant Contacted:
Date FOIL fulfilled or denied: // /,"
Closed by:
Date: /
Notes: �� : °° ' • -��° �� ��-r � .
Amount Due: — Pages for a total of S
Name: - [check here if you are
Address:' requesting that the records
<, t. M ✓,�'C µ"be mailed to this address.
Agency or firm:
Telephone #: (P;7 -tel ter'" FAX : ( ) -
Email address:
SPECIFIC DESCRIPTION OF RECORD:
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
I request that the records be sent via c -mail to the address listed above
I request that the records be faxed to the number listed above