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Forms Can Be Submitted via Email to lodell@townofwappingerny.goy or in person/via mail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph R Paoloni ❑
Lynn O'Dell ❑
Lori McConologue--'
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
TOWN OF WAPPINGER
Application for Public Access to Records
Received FOIL REQUEST
SEP 2 5.2023
i wn of Wappin
I -own Clerk
FOR DEPARTMENT USE ONLY
Date Received by Deptl f I
Department Head approval:
Date Applicant Contacted:
Date FOIL fulfilled or denied: !T/
Closed by:
Date:
Notes; WX1� 0AU
Amount ue: Pages for a total of $
Name: A clur, � 1 _rf -.41 el ❑ check here if you are
Address: A o n ,Jd C u,,,. requesting that the records
l �`s �ti•�_ fbe mailed to this address.
Agency or firm;
Telephone #: FAX #: ( )
Email address: -Q1 1,t/- 3 d- & n 1. ew,.,..
SPECIFIC DESCRIPTION OF RECORD:
E� e.✓ �a r� c� r� ��y E{"Pk�
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
11 I request that the records be faxed to the number listed above