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Fortes Can Be Submitted via. Email to tmcconologueLa�townofwappingerny.gov or
robirison btownofwa in ern ov or in person/via mail to 20 Middlcbush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni FJ
Lori McConologue f
Grace Robinson 11
Date Received: 1
FOIL Ser.. #:
DEPARTMENT:
ASSESSOR
0
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
0
RECEIVER OF TAXES
0
RECREATION
I request copies of the records described above and agree to pay the cost of such records in.
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SUPERVISOR
CI
TOWN CLERK
El
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
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Namel
Address:
TOWN OF WAPPfNGER
Application for Public Access to Records
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Date Received by Dept / t
Department Head approval:'
(init)
Date Applicant Contacted.
Date FOIL ➢filled iar denied:
Closed by:
Date: Y
Notes:
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Amount Due:: _Z Pages for a total of $
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requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: F45 } F FAX #;
Email address: _ ti L� - C6
SPECIFIC ESCRIPTION OF RECORD:
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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.
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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