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Forms Can Be Subnnitted via Email to lodell @town0fwappingcrny.Zov or
mcconolo tie c0owngfwa pin y�v or in Person/via snail to 20 I'��Iiddlebush Rd Wappingers Falls, NY
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 71
Lynn O'Dell -1
Lori McConologue ;k.
Date Received: ! /
FOIL Ser. ##: - r
DEPARTMENT:
ASSESSOR
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ACCOUNTING
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CODE ENFORCEMENT
PLANNING
ZONING
0
FIRE INSPECTOR.
❑
HIGHWAY
0
RECEIVER OF TAXES
El
RECREATION
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SUPERVISOR
TOWN CLERK
WATER/SEWER
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DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
El
TOWN OF WAPPINGER.
Application for Public Access to. lords
REO UWgr
JUL
JUL 14
of ,Oger
k3uMk19 Deparvnw)t � 0x,
FOR DEPARTMENT USE ONLY
Date Received by Dept
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Department Head approval':
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Date Applicant Contacted: ! I
Date FOI fiilFilled r denied:
Closed by:
Date: ,& ,,t_.
Notes: l ✓ 1-�
Amount Due: Pages for a total of $
Name: 11(t. ( A ' 0 ❑cheek here if you are
Address: 2 requesting that the records
1( 2 6 be mailed to this address.
Agency or firm:
Telephone ##: (1`11(
Email address: ren A&(IV Lei
2.2 - V2 `y FAX ##:
SPECIFIC DE CRIPTION 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 e-mail to the address listed above
I request that the records be faxed to the number listed above