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2024-193Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to lmcconotogue(c�,townofwappingerny.gov or grobinson,townofwappingemy.gov or in pRkdjVLtido 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Town of Received by: Joseph P. Paolorij Lori McConologue f9wn Grace Robinson L� Date Received: 1 01 FOIL Ser. #: DEPARTMENT: ASSESSOR ❑ ACCOUNTING ❑ CODE ENFORCEMENT{ ❑ El SER ❑ 2024 TOWN OF WAPPINGER a p p in g 1zcatioh for Public Access to Records Ol e rk , - ®IL REQUEST 11 �; Wig �iGV FOR DEPARTMENT USE ONLY Date Received by Dept 2x PV-�tWCTotz Kk_S ;>�,,0 — P �i Department Head approval: 1 M() - _ A1.4111 7 idfa' cru �� 1r 1 i C)t l --- (init) Date Applicant Contacted: zal (� f 6Z5 ? -C2 79g9057- Date FOI fulfilled � r denied: I I Closed by: rt Date: / ,�Y/ Notes: Amount Due: Pages for a total of $ ❑check here if you are Address: J -Z (�[J) Ri rj(,( 60 � P`® requesting that the records 130 g-1 (�,t be mailed to this address. Agency or firm: TS P-61—ti S Telephone #: (�3' i1� - I T50 FAX Email address: !).V,f'V�)Moc.i4 (�,TO) Ib46r-.5 , Co3'h QK SPECIFIC DESCRIPTION OF RECORD: NMI A S91 TRC PV-�tWCTotz Kk_S ;>�,,0 — P �i _A ;i# c T �rQAr 1 M() - _ A1.4111 7 idfa' cru �� 1r 1 i C)t l --- �� 6Z5 ? -C2 79g9057- 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