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2024-17Click Dere To Search. Our Public Records Database before Submitting Request Forms Can Be Submitted via Ernail to lMcconolo Lie (r.townofwa in ern' ov or grobinson(cr,townofwappijagc y. ov or in person/via nail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P, Paoloni 1 Leri McConologue Grace Robinson C Date Received FOIL Ser. #: DEPARTMENT: ASSESSOR [l ACCOUNTING 40 CODE ENFORCEMENT HIGHWAY RECEIVER OF TAXES ❑ RECREATION FORMAT' OF RECORD (if available) SUPERVISOR O TOWN CLERK ❑ WATERJSEWER ❑ DOG CONTROL OFFICER TOWN ENGINEER El TOWN ATTORNEY ❑' Application for public Access to Records ecOved FOIL REO UEST FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval Date Applicant Contacted Date FOIL fulfilled or denied: Closed by: Date: Amount Due: — Pages for a total of $ — Name: AIP-ICA, _A"lc 0(14 L:L check here if you are Address: q C n _ x ,, � requesting that the records ir�r��'ra�,er�s�.s Jwf 1,✓ 2 Sbe mailed to this address. Agency or farm: ic. n `B r rrr /�_ Telephone #: ( h } 4' - 53c) FAX #: ) - Email address: {'.-i_g(c 1�u I r- i JET ��,r�s,�t?c)c r /0.nr, C SPECIFIC DESCRIPTION OFECORD: r ?ig,,4 c-" Y f0LX-rIGJ-4,5 iii U S q7c Ar_ 40 n TP 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 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