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Forms Can Be Submitted via Email to Imccoiiologue(c�,townofwvappingerny.gov or
robinson cr7townofwa in ern . ov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
Received
FOR INTERNAL USE ONLY NOV I 6TIDWN OF WAPPINGE
'Tov\ n of hWt o r Public Access to Records
Received by: Joseph P. Paoloni __j It
Lori McConologue REQUEST
I
Grace Robinson t i IE9 -M,
n
Date Received:
FOIL Ser, :
17 D1:7, %in I oleo Ii
ASSESSOR
❑
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
0
TOWN CLERK.
0
WATER/SEWER
DOG CONTROL OFFICER
❑
TOWN ENGINEER
❑
TOWN ATTORNEY
El
NOV 16 2023
Planning Department
Town of Wappinger
FOR DEPARTMENT USE ONLY
Date Received by Dept /' J
Department Head approval:
(init)
Date Applicant Contacted:
xn
°i
Date FOIL f 1L led or denied: / 1
Closed by:,
F .
Date: /J
Notes: 4 ;� j.0 .) !
Amount Due. "® Mages for a total of
Name:.' r check here if you are
Address: _ rw.v . " „a> requesting that the records
k be mailed to this address.
Agency or firm: ' 17
Telephone #: qc) FAX #: ( )
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Email address: �_ 7' r .
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)
I 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
0
accordance with the fee schedule on the back of this application
be listed
I request that the records sent via e-mail to the address above
I request that the records be faxed to the number listed above