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Forms Can Be Submitted via Email to lincconolOgL]e("c)townofwvappin emy ov or
robinson(r townafwatapi3r erny.gov or in person/via mail to 20 Middlebush Rd 'Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lori McConologue FJ
Grace .Robinson F
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
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CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
FORMAT OF RECORD (if available)
RECREATION
I request copies of the records described above and agree to pay the cost of such records in
SUPERVISOR
I request that the records be sent via e-mail to the address listed above
TOWN CLERK.
WATER/SEER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
El
TOWN OF WAPPINGER
Application for Public Access to Records
U � c' 1i
Building Depart
Town of Wappi
FOR DEPARTMENT USE ONLY
Date Received by Dept 1 /03/,0-3
Department Dead approval:
trit)
Date Applicant Contacted:/ 0,/,°
Date FOIL fulfilled or denied: �C'
Closed by:&�,.�
Date: 10 q_3 /
Notes: ��..
Amount Due: Pages for a total of
Name::- �, . `�-- �' ®check here if you are
Address: requesting that the records
be mailed to this address.
Agency, or firm:
Telephone #: "11 } "_ SAZ a FAX : ) -
Email address: v Gt C t ": t�rJ Q Ll _ tom«
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)
HIrequest 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