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Forms Can Be Submitted via Email to Imccoiiologtie(&-,townofwappingerny.gov or
grobitisoti�c?townofwappiiigemy.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 11
Lori McConologue IR
Grace Robinson
Date Received:
FOIL Ser. #: C
DEPARTMENT:
ASSESSOR
El
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
❑
RECEIVER OF TAXES
❑
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
F
Nance:
Address:
TOWN OF WAPPINGER
ror Pu b1i ic Access to Records
,
IL REO UEST
BuHdrig L)epartrr)ent
Town of Wappr'V'r
FOR DEPARTMENT USE ONLY
Date Received by Dept r" / 1
Department Head approval:
�
Date Applicant Contacted:
Date FOIL fulfilled or denied: /'D
Closed by:
Date: C)
Notes: I le a� 0�� szl�
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Amount Due: 2tLC-- Pages for a total of �01_
0(� Vj
; U Or
Agency or firm:
Telephone #: (,5- 1/"'1 lj'- FAX
Email address:
F-] check here If you are
requesting that the, records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
K
/V�
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
F-1 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