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Forbes Can Be Submitted via Email to lodelligtowpofwappingerny.gov or
lmcconolo L townofwappingemy.g v or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY
12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 7
Lynn O'Dell El
Lori McConologue
Date Received:
FOIL Ser. #:`
DEPARTMENT:
ASSESSOR
D
ACCOUNTING
[�
CGDE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
E]
RECREATION
SUPERVISOR
TOWN CLERK
11
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
[Q
TOWN ATTORNEY
❑
'OWN OF WAPPIN-ER
A 'cation for Public Access to Records
ice\\l FOIL REO VEST
FOR DEPARTMENT USE ONLY
Date Received by Dept 7WM Department Head approval:
Date Applicant Contacted: / (E /
Date FOIL fulfilled or denied: 71LS1>
Closed by: 1 �Ie
Date: / /
Notes: r
Amount Due: ---- Pages for a total of $
Name: t ° E] check here if you are
Address:'QM t+ c)C requesting that the records
L'�) w m c - ,5 be mailed to this address.
Agency or firm:
Telephone #: FAX #: ( }
Email, address % si1��1 r) . t �
SPECIFIC DESCRIPTION OF RECORD:
7 G` ; I , -
2
FORMAT OF RECORD (if available)
HIrequest 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-rnail to the address listed above
I request that the records be faxed to the number listed above