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Forms Can Be Submitted via Email to lmcconologueLbto nofwappin?erny. ov or
grobinson@townofwappingerny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 1.2594
FOR INTERNAL USE ONLY ReceivedTOWN OF WAPPfN ER
Receivedby: Joseph P. Paoloni AApplication for Public; Access to records
. 1 L 2024��
Lori McConologue - OIL REO UEST
Grace Robinson. T6wn of Wappinger
Date Received: I /Town Clerk
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FOIL Ser. J 113111 T)-
DEPARTMENT:
ASSESSOR
ACCOUNTING
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CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
❑
TOWN CLERK
WATER/SEWER
El
DCG CONTROL OFFICER
TOWN ENGINEER
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TOWN ATTORNEY
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Naive: r (V,
Address: 1 `7) ``)
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Date Received by Dept
Department Head approval
Date Applicant Contacted:
Date FOIL (Oor denied
Closed by:
Date:
Notes: l
Amount Die: Pages for a total of $ Dq
J f ( e check here if you are
I y C' requesting that the records
(,(,f j C �1 q ( 4.;-q be mailed to this address.
Agency or firm:
Telephone #: FAX #: ( ) -
Email address:
SPECIFIC DES IPTI OF RECORD:
FORMAT OF RECORD (if available) & - 0 , 66 /
Irequest 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.
Irequest 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
FORMAT OF RECORD (if available) & - 0 , 66 /
Irequest 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.
Irequest 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