2024-254Click Mere To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to Imcconologue@townofwappingerny,goy or
robinson(cr,townofwa in ern ov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni rJ
Lori McConologrte
Grace Robinson F
Date Received: I — / /
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
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ACCOUNTING
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RECEIVED. OF TAXES
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SUPERVISOR
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TOWN CLERK
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WATER/SEWER
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DOG CONTROL OFFICER. El
TOWN ENGINEER
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TOWN ATTORNEY
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TOWN OF WAPP"INGEP
Application for Public Access to Records
RecelvedFOIL REQUEST
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FOR DEPARTMENTUSE ONLY
Date Received by Dept � 1
Department Mead approval:
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Date Applicant Contacted: '�/ A / m
Date FOIL fulfilled or denied: -#-- /6J
Closed by: &�Z�r
Date: "'i /,S /
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Amount Due: 6[� Mages for a total of 'a
Name:n C Y)da) ®check :here if you are
Address: % requesting that the records
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Agency or firm: ' ` I '
Telephone #: ( ) 4 FAX #: ( ) -
Email address: 't+i t v- n/1 &V% 1 49 ( IMI. bfrdV i
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT RECORD (if available)
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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
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request that the records be sent via e-mail to the address above
I request that the records be faxed to the number Listed above
at Fee Cheick No. Receipt No. Pa ?.+> Amoiunt