2024-99MRAW �J15jm)4
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Forms can Be Submitted via Filial] to 11m or
""ob, ill persol, /via i I nail to 20 Nfiddlchl'sh Rd Wappingers Falls, NY 12590
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FOR JNT[-'RNAIUSF -: ONLY
Received by: Joseph 1). Paohini
Lori McConologue
Grace Robinson
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
F-1
ACCOUNTING
CODE ENFORCEMENT
HtGFIWAY
0
RECEIVER OF TAXES
0
RECREATION
11
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
'N OF WAPP INGER
AP's
Pp 18 � or Public Access to Records
Town ofWapW6C#E0UEST
'Town Clerk
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
(an i ef)
Date Applicant Contacted:
Date FOIL fulfilled or denied:
Closed by:
Date:
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Notes:
Amount Due: d. Pages for a total of $ —
Name: Elcheck here if you are
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Address: 0 1 V1 requesting that the records
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Agency or
Telephone #.(qiq FAX 4:
Email address:
SPECIFIC DESCRIPTION OF RECORD: ko rds -for
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FORMAT OF RECORD (if available)
IH 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 or 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 bc faxed to the number listed above