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2023-255Click Dere To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to hncconolo ue(&,townofwappingemy.gov or grobinson(a7towjiaf,A,appiaigerny. o or its person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12591 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni Leri McConologue----'' Grace Robinson ri Date Received: FOIL Ser. #: DEPARTMENT: ASSESSOR [] ACCOUNTING CGDE ENFORCEMENT yF_1 HIGHWAY RECEIVER OF TAXES RECREATION Q SUPERVISOR El TOWN CLERK [] WATER/SEWER E] DOG CONTROL OFFICER ❑ TOWN ENGINEER El TOWN ATTORNEY TOWN OF WA.PPEP. Application for Public Access t 4aArds �� REO AUG 0 4 2023 FOR DEPARTMENT USE ONLY Date Received by Dept / 0 Department Head approval: Date Applicant Contacted: S I _ / Date FOIL fulfilled or denied:/ / Closed by: Date: Notes:e- m J. Qccc�w,ag-�ke—ir t- l4,o ter` Amount Due: ._ Ps for a total of $ Name: "Ri t kl"'Z_ check here if you are Address: " ' ,, ru C I �ro, requesting that the records Nc?,M`� be mailed to this address. Agency or firm: K JDOT,i Cu(5i5k4- ` .t.... TelephoneFAX Email address-, •� f bc." 52,0y�� ti�.���a SPECIFIC DESCRIPTION OF RECORD: w t P 67 Eeli ... Li 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 1 request that the records be faxed to the number listed above