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gEatLinsori L&towpofwappingeEU.,loy or in person/via iRLiLr(2R*.#lebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Tow
Received by: Joseph P. Paoloni
Lori McConologue -1
Grace Robinson P
Date Received:
FOIL Ser. #.-
- 3VU
DEPARTMENT:
ASSESSOR
El
ACCOUNTING
El
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
F-1
SUPERVISOR
F-1
TOWN CLERK
WATERJSEWER
DOG CONTROL OFFICER
TOWN ENGINEER
F-1
TOWN ATTORNEY
0
Name:
Address:
WAPPINGER
Of' WVPID'ingEw for Public Access to Records
kwn Clerk FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept L / /1,
Department Head approval:
Date Applicant Contacted: (0 /,--1
Date FOIL fulfilled or denied: t_C,_ /3
Closed by:
Date:
Notes:
Amount Due: Pages for a total of $
Agency or firm:
Telephone #: (771
FAX X#.
Email address-'
Fjcheek here if you are
requesting that the records
be mailed to this address.
�SP�ESCRLPTION
CIJC PE OF RECORD:
1,20 . .........
. ... .......... .
FORMAT OF RECORD of available)
77'
d
- ric r) _r , above
I request to be notified when I can come to inspect (s) described
H 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 taxed to the number listed above