2024-182Click Hcrc To Search Our Public Records Database Before Submitting Request
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Forms Can Be Submitted via Email to LpLeconolol, t vynol'w
Lie 1,; 0 appingenw.gov or
11 LS L or in person/via mail to 20 MiddlebusWRd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lori McConologue iK
Grace Robinson E.
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au n for Public Access to Records
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Date Received: / ot
FOIL Ser. #:
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DEPARTMENT-
ASSESSOR
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ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATERJSEWER
DOG CONTROL OFFICER
TOWN ENGINEER
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TOWN ATTORNEY
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11 LIE I E W, EE D
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Building Departnn;�,_'
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval
Date Applicant Contacted:
Date FOIL� ulfil ed)r denied:
Closed by:
Date:
Notes:
'7/
Amount Due: Pages for a total of
y
Name: t - h R1, [check here if you are
101'e;oe-� Address : VS�-'em le- ei i., e, requesting that the records
1"2,5-9e-,> be mailed to this address,
Agency or firm: ` ate,, a 444S
Telepbone ff- FAX
Email address: ;DL5 R ;-set e-etsu e2e"Y. cpt_
SPECIFIC DESCRIPTION OF RECORD: Ripve r,,k'
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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