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Forces Can Be Submitted via Email to Imccojiologue(a-)townofwappingemy.gov or
grobinson(cr)townofwappingerlly.gov or in person/via mto 20 Middl gush Rd Wappingers Falls, NY 12590
Veceie
FOR INTERNAL USE ONLY
Received by Joseph P. Paoloni ❑ "row
Lori McConologue n
Grace Robinson
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
FIC DESCRIPTION OF RECORD: >
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
[]
RECEIVER OF TAXES
0
RECREEATION
❑
SUPERVISOR
❑
TOWN CLERK.
❑
WATER/SEWER
❑
DOG CONTROL OFFICER ❑
TOWN ENGINEER
0
TOWN ATTORNEY
❑
NOV7 TOWN OF WAPPINGER
wor Public Access to Records
own Clerk MIL RE
FOR DEPARTMENT USE ONLY
r
Date Received by Dept / °''
Department Head approval:
Date Applicant Contacted: C 1
Date FO1 fulFilled r denied:
Closed by:
Date:
Notes
Amount Due: Pages for a total of $
Name:- ®check here if you are
Address: ,, requesting that the records
V94 " be mailed to this address.
Agency or f<rrn:-,
Telephone #: '` l' -a FAX #: ) -
Email address:
SP
FIC DESCRIPTION OF RECORD: >
FORMAT OF RECORD (if available)
H1request
to be notified when I can come to inspect the record(s) described above
1 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 be listed
request that the records sent via e-mail to the address above
1 request that the records be faxed to the number listed above