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Fornis Can Be Submitted via Eniail to lodellDytownofwappingeMgov or
1111cconologueQ wnofwappingerny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY
12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 0
Lynn O'Dell Cl
Lori McConologue
Date Received:
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FOIL Sen #: Cl
DEPART ENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
F-1
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
E]
TOWN OF WAPPINGER
-.1=21.., *.7-j
FOR DEPARTMENT USE ONLY
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Date Received by Dept
Department Head approval:
Date Applicant Contacted:7
Date FOILtrl1,--I'Dedr denied:
Closed by:
Date -
Notes: QA-�J-Oed, Eko .1
Amount Due: _ Pages for a total of $
Name: []check here if you are
Address. -requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: #(LI,- FAX #:
Email address:_ 10A 4Q�') 60 C4 �)) 14� 1k -
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,e record(s) described above
gree to pay the cost of such records in
application
tress listed above
d above
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