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2024-222Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to lmcconologuc(d_townofwap 3i eyv or grobinson&towi�ofwa�taingerny. oy or in person/via snail to 2.0 MiddlebUsh. Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paolom 11 Lori. McConologtie Grace Robinson E Date Received: / / FOIL Ser. #: _"ar.. DEPAR,I,MENT: ASSESSOR El ACCOUNTING it) CODE ENFORCEMENT l / HIGHWAY E] RECEIVER OF TAXES ❑ RECREATION ,,kn� ❑ lfam`:l f SUPERVISOR Amount. Due: Pages for a total of $ TOWN CLERK ❑ WATER/SEWER DOG CONTROL OFFICERFJ TOWN ENGINEER TOWN ATTORNEY Date Received by Dept -7i Department Head approval: it) Date Applicant Contacted: l / Date FOIL . ilhlled or denied: Closed by: ,,kn� Date: lfam`:l f Notes: Amount. Due: Pages for a total of $ Name: ®cheep here if you are Address: requesting r c �_ requesting that the records be mailed to this address. Agency or firm: Telephone #: Wj - FAX_ - Email address: � S-av i, cu SPECIFIC DESCRIPTION OF RECORD: FORMAT OF RECORD (if available) M. I request to be notified when I can come to inspect the record(s) described above 1 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 ElI request that the records be faxed to the number listed above