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FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 1-1
Lori McConologue LJ
Grace Robinson 0
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
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ACCOUNTING
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CODE ENFORCEMENT
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HIGHWAY
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RECEIVER OF TAXES
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RECREATION
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SUPERVISOR
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TOWN CLERK
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DOG CONTROL OFFICER
TOWN ENGINEER
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TOWN ATTORNEY
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Name:
Address:
TOWN OF WAPPINGER
Application for Public Access to Records
ffILREO UEST
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Building Depaitment
Town of Wappinger As
FOR DEPARTMENT USE ONLY
Date Received by Dept S/
Department Head approval: t
Date Applicant Contacted: 1:30,1 2z
Date FOIL fulfilled or denied: /"_�36
Closed by:
Date:
Notes: re k,/, 6 �' 5.
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Amount Due: ges for a total, of $
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requesting that the records
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Agency or firm: U
Telephone #: (q q S_
FAX #:
Email address: TA,`
SPECIFIC DESCRIPTION OF RECORD:
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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
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