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Fori-ns Can Be Submitted via Email to Imcconfllogue(a tovwnofwapt)ingerny. ov or
rtst�s(iii@towiiofwappitlt;ertry.t;ov or in person/via mail to 20 Mddlebush Rd Wappingers Falls, NY 12590
FOR INTEIZNAL USE ONLY
Received by: Joseph P. Paoloni 11
Lori McConologue F''
Chace Robinson F
Date Received: / 1
FOIL Ser. #:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
Ar
HIGHWAY
RECEIVER OF TAXES
El
RECREATION
El
SUPERVISOR
TOWN CLERK
WATER/SEWER
El
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
0
1
d I
TOWN OF WAPPINGER
FOR DEPARTMENT USE ONLY
Date Received by Dept 1„ �% ,
Department 14e'ad approval;
Date Applicant Contacted: 1 I
Date FOIL ulfillte or denied.: l
Closed by:
Date:
Notes: M f�
Amount Due: Pages for a total of $
Name: �`y r e []check here if you are
Address; --e < 0 requesting that the records
A one #; FAX #: C _ be mailed. to this address..
Agency firth: ( 5�1 ) - ,
Telephone
Email address:Ctaz
SPECIE C DESCRIPTION OF�ORD°
l
FORMAT OF RECORD (if available),
1request 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
Irequest 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