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Forms Can Be Submitted via. Email to ImcconolOgLie(cDtownofwappingemy.gov or
grobiiisoii(a),towi-lof\vappingemy.go or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni El
Lori McConologue
Grace Robinson
Date Received:
FOIL Ser. 4:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
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HIGHWAY
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RECEIVER OF TAXES
Agency or firm:
RECREATION
Telephone #: V 7 FAX #:
SUPERVISOR
Email address: 190
TOWN CLERK
WATER/SEWER
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DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
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TOWN OF WAPPINGER
Application for Public Access to Records
ReceiveOILREQUEST
I sEp o 8 2023
FOR DEPARTMENT USE ONLY
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Date Received by Dept
Department Head approval:, i
(init)
Date Applicant Contacted:
Date FOIL fulfilled or denied:
Closed by:
Date:
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Notes:
Amount Due - : ZPages for a total of
Name: / r_�_c)l(,WO RoLi-J-EVR�v� F-1 check here if you are
Address: 4- p4 -v tQ�Z_ j!�?Akq-> -requesting that the records
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Agency or firm:
Telephone #: V 7 FAX #:
Email address: 190
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
IH 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
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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