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Forms Can Be Submitted via Email to lodell d0ownofwa in em ov or in person via mail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni -1
Lynn O'Dell 7
Lori McConologue 1,
Date Received:
FOIL Ser, #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
01
ZONING
0
FIRE INSPECTOR
Li
HIGHWAY
F1
RECEIVER OF TAXES
17
RECREATION
E
SUPERVISOR
E -i
TOWN CLERK
0
WATER/SEWER
DOG CONTROL OFFICER
F__
TOWN ENGINEER
E
TOWN ATTORNEY
E
TOWN OF WAPPINGER
Application for Public Access to Records
Receiveri FOIL REQUESTd
MANME
FOR DEPARTMENT USE ONLY
Date Received by Dept /Z 1,2V
Department I -lead approval: —Go
Date Applicant Contacted: 2/0 12y—
Date FOIL fulfilled or denied: 421 /
Closed by:
Date: 7 103 /,,W
Notes:
Amount Due: Pages for a total of
Name: ("?a V Y) C YN All 01 P fc(x, _-1 check here if you are
Address:
requesting that the records
(4& 0 be mailed to this address.
Agency or firm:.
Telephone #: FAX #:
Email address: OU ti,�_5, 1- 0
....... . ..
SPECIFIC DESCRIPTION OF RECR, le , -
lo) +k e,_, Cbrce, A
f
_CofLt_1> Cta r -e. 1- (Q -Lb n,S e4o
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
W 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