2023-2631%
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1�orms Can Be Submitted via Email to hiicconologueptownofwappingeriiyg2v or
grobiaasonptownofwappingemy.gov or inperson/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paolonj U
Lori McConologue F_4 '
Grace Robinson E
Date Received:
FOIL Ser. #:
11104 V. -I illy ILII 1 V121
ASSESSOR
El
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
El
RECREATION
0
SUPERVISOR
TOWN CLERK
FORMAT OF RECORD (if available)
F-1 I request to be notified when I can come to inspect the record(s) described above
rlI 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
0 I request that the records be sent via e-mail to the address listed above
F-1 I request that the records be faxed to the number listed above
WATER/SEWER
0
DOG CONTROL OFFICER 7
TOWN ENGINEER
El
TOWN ATTORNEY
7
TOWN OF WAP,PMGER
ece�Nftofication for Public Access to ords,
FOIL REQUEST
Aus 2 5 1023 -
�,j__Of NNaPPI"g
. . ..... clerk
Date Received by Dept
Department Head approval:
Date Applicant Contacted:
Date FOIL fulfilled or denied:
Closed by:
Date:
C7!5
2.5i 23
Notes: C -L, _�� �<f
Amount Due: _ Pages for a total of $
Name:'w'' W check here if you are
Address: t)Sg' gX requesting that the records
olva"w S 2FO ('s �L\j b be mailed to this address.
V
Agency or finn.6P-UtAnq'k-, e�a 46C S
Telephone #: . U(p FAX #:
Email address:
SPECIFIC DESCRIPTIOOF RECORD:
\j f2d, -!")SmUk�
FORMAT OF RECORD (if available)
F-1 I request to be notified when I can come to inspect the record(s) described above
rlI 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
0 I request that the records be sent via e-mail to the address listed above
F-1 I request that the records be faxed to the number listed above