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Formas Can Be Submitted via Email to imcconologue(cf)townofwappinge�v or
robinsonc townofwa ain Bern . ov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni JJ
Lori McConologue
Grace Robinson i
Date Received: / J
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
M
CODE ENFORCEMENT
HIGHWAY
E]
RECEIVER OF TAXES
❑
RECREATION
❑.
SUPERVISOR
C❑
WATER/SEWER
❑
DOG CONTROL OFFICER
❑
TOWN ENGINEER
TOWN ATTORNEY
❑
ti
��4yr y' z�,
FOR DEPARTMENT USE ONLY
Date Received by Dept 1 /
Department Head approval:
(irait)
Date Applicant Contacted: a QL / Qq
Date FOIL fulfilled or denied: /�L /OLI
Closed by:
Date:
3/ 1 /
Notes: W,
or-'-rinf-b Qn
Amount Due: Pages for a total of $
Name: Julie Smith [:]check here if you are
Address: 28 Pine midge Qr requesting that the records
Wappingers Falls NY 12590 be mailed to this address.
Agency or firm:
Telephone ##: (s45 ) 763 -2602 FAX ##
Email address: smitsmittM�8 aal.com
SPECIFIC DESCRIPTION OF RECORD:
Property file — —
FORMAT OF RECORD (if available)
Irequest 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 email to the address listed above