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Forms Can Be Submitted via Email to ImcconolOgLiekownofwappingerny.gv or
grobinsonLc townofwappingcrny.gov or in person/via mail to 20 MiddlcbL,s " Wappingers Falls, NY 12590
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FOR INTERNAL USE ONLY % 1O" OF WAPPINGER
Received by: Joseph P. Paoloni 7
Lori McConologue 7
Grace Robinson i::
Date Received:72- ZG
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
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
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
RECREATION
El
SUPERVISOR
❑
TOWN CLERK
❑
WATER/SEWER
❑
DOG CONTROL OFFICER ❑
TOWN ENGINEER
TOWN ATTORNEY
Name:
Address: 4
Application for Public Access to Records
FT
REO VEST
FOR DEPARTMENT USE ONLY
Date Received by Dept 1' /1 b( !
Department head approval:
Date Applicant Contacted:
Date FOIL fulfilled or denied: / Ii
Closed by:
Date: 12 / ) q1
Notes: �� t
Amount Due: Pages for a total of S
Agency or firm:
Telephone #: (` L�S) HL4 * 9'7�q FAX##:
Email address:+d e C \mac} 'ssz a i
check here if you are
requesting that the records
be availed to this address.
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
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