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Forms Can Be Submitted via Email to loddellfc
,otownofwappin. emy.g
,oy or in person/via mail to 20 N41ddlcbush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni 0
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Lori McConolOgUe
Date Received: / /
FOIL Ser. #: 901��
DEPARTMENT:
ASSESSOR
ACCOUNTING D
CODE ENFORCEMENT K1_4P
PLANNING L1
ZONING F1
FIRE INSPECTOR CJ
HIGHWAY
RECEIVER OF TAXES 11
RECREATION F]
SUPERVISOR
TOWN CLERK
WATERJSEWER
DOG CONTROL OFFICER
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TOWN ENGINEER Ll
TOWN ATTORNEY 1]
Date Received by Dcpt
Department Head approval
Date Applicant Contacted
(init)
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Date FOI fillfilled r denied:
Closed by:
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Date:
Notes:'ej,
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Amount Due: 9 1 Pages for a total of
Name: Ck _( oi-7 0 check here if you are
Address: requesting that the records
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Agency or firm:
Telephone #: (c7/ (,,3 FAX #:
Email address:, V" -
SPECIFIC DESCRIPTION OF CORD:
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FFORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
R, I request copies of the records described above and agree to pay the cost of such records 7in
accordance with the fee schedule on the back of this application
E 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