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Fortes Can Be Submitted via Email to I:mcconologue townofwappingeniy.gov or
grobinson(q-)townof appiz gemy.gov or in person/via, mail to 20 Middlebush Rd Wappingers Falls, ids' 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lori McConologue
Grace Robinson F1
Date Received:
FOIL Ser. #: �.
DEPARTMENT:
ASSESSOR
Date Received by Dept
ACCOUNTING
F/
CODE ENFORCEMENT
[2
HIGHWAY
Date Applicant Contacted:
RECEIVER OF TAXES
Date FOIL fulfilled or denied:
RECREATION
El
SUPERVISOR
[]
TOWN CLERK
Notes: =
WATER/SEWER
DOG CONTROL OFFICER 0
TOWN ENGINEER
1-1
TOWN ATTORNEY
El
TOWN OF WAPPI GER
Application for Public Access to Records
Ery UEST
;'„
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Mead approval:
(init)
Date Applicant Contacted:
a / a / '. "
Date FOIL fulfilled or denied:
IEL 1'_q7
Closed by:ry
Date:
/ I
Notes: =
Amount Due: L—Pages for
a total of $ --
Name:-,'r' r F-1 check here if you are
Address:,Z requesting that the records
✓� C be mailed to this address.
Agency or firm:
Telephone #: (ti i)02, FAX #:
Email address: 21 /
SPECIFIC DESCRIPTION OF CORD:
FORMAT OF RECORD (if available)
t/ 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
I request that the records be faxed to the number listed above