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2024-179Click sloe To Search Our Public Records Database Before Submitting Request. Forms Can Be Submitted via Email to ImecoaiologueCo),townof appi.ngerny.gov or robinso i"Dtownofwappin�erny.gov or in person/via mail to 20 Middlebush. Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni (:6 Lori McConologuc Grace Robinson q Date Received: FOIL Ser. ##: DEPARTMENT: ASSESSOR. ❑ ACCOUNTING El CODE ENFORCEMENT ff HIGHWAY El RECEIVER OF TAXES El RECREATION [� SUPERVISOR TOWN CLERK. WATER/SEWER El DOG CONTROL OFFICER TOWN ENGINEER TOWN ATTORNEY UU Q�rw��HJILM Town of Wappinger Date Received by Dept 121 -SI 112Y Department Head approval:' (zzzzt) Date Applicant Contacted: /0 / Date FOIL fulfilled or denied: Closed by: Date: Notes: ; r � A"e� Amount Due: Pages for a total of $_L3 Name: �& 6uj r) w : i q', C1r ®elaeck here if you are Address. �,_ t^ requesting that the records w6L"1 1 `�� be mailed to this address. Agency or firm: Telephone ##. (ql FAX ##: ( ) �- Email address: SPECIFIC DESCRIPTION OF RECORD:w ° -�4qoik�tLK --~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 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