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Fortes Can Be Submitted via Email to hncconologue@ townofwappingerny.gov or
grobinsora(otowriofwappingeraiy.gov or in person/via mail to 20 Middlebusli Rd Wappingers Falls, NY 125911
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni F1
Lori MMcConologue
Grace Robinson E-1
Date Received: J /
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
EJ
ACCOUNTING
CODE ENFORCEMENT
--
HIGH'WAY
[]
RECEIVER OF TAXES
❑
RECREATION
El
SUPERVISOR
❑
TOWN CLERK
El
WAT'ERJSEWER
DOG CONTROL OFFICER
TOWN ENGTNEER
TOWN ATTORNEY
[�
M. • . N1,. II"
OF V AP"PfNGER
or Public Access to Records
ILREOUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
(init)
Date Applicant Contacted:
Date FOIL fulfilled or denied: J /
Closed by:
Date: S /Z'S ! a
Notes: ;5vo -. c �' �.
Amount Due: Pages for a total of
Name: .^ Rc,heck here if you are
Address: requesting that the records
✓� 2sL) be mailed to this address.
Agency or firm:
Telephone #: O)- FAX -
Email address:
SPECIFIC DESCRIPT ON OF RECORD: 2,4 _ r i
e- r
FORMAT OF RECORD (if available)
1request to be notified when I can come to inspect the records) 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