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Forms Can Be Submitted via Email to Imcconologtic(t,towiiofwappingcmy.gov or
grobinson(cD,towiaofwappinget-ijy.gov or in person/via mail to 20 Middlebusb Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lori McConologue
Grace Robinson F]
Date Received:
FOIL Ser. #: _S - 3,
DEPARTMENT:
ASSESSOR
El
ACCOUNTING
El
CODE ENFORCEMENT
FT'
HIGHWAY
fI
RECEIVER OF TAXES
El
RECREATION
El
SUPERVISOR
F-1
TOWN CLERK
El
WATER/SEWER
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DOG CONTROL OFFICER [:1
TOWN ENGINEER
0
TOWN ATTORNEY
1:1
NVA
FOR DEPARTMENT USE ONLY
Date Received.by Dept 161
Department Head approval.
Date Applicant Contacted:
Date FOI failfilled r denied:
Closed by:
Date: P/ f Jlt243
Notes:
Amount Due: _ Pages for a total of $
[]check here if you are
Address: 2/4) requesting that the records
- 5-6 i 0 Lter 0 ,e 1,7-5 kg. be, mailed to this address,
Agency or firm: 5' ,, %; � L,) , 1. k- , v-, <,
Telephone #: ( fr'15 ),.2 3 5 - ,4., "7 FAX 4:
Email address: e2l
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SPECIFIC DESCRIPTION OF RECORD:
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
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
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
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