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2024-277Click: Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to ImCCoi7olo-Lte��townofwapprn in ey.gov or grobinsonc townofwappingerny.gov or in personlvia snail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni Pori McConologue Grace Robinson F1 Date Received: I / FOIL Ser, 4: DEPARTMENT: TENT: ASSESSOR 11 ACCOUNTING CODE ENFORCEMENT HIGHWAY 0 RECEIVER OF TAXES El RECREATION ❑ SUPERVISOR I request copies of the records described above and agree to pay the cost of such records in. TOWN CLERK F WATER/SEWER request that the records be sent via e-mail to the address listed above DOG CONTROL OFFICER F] TOWN ENGINEER TOWN ATTORNEY El TOWN OF WAPPINGER Application for Public Access to Records FOIL RET I' ... tOff OF Name: –tit ttr i t[ Address: Z ZI 5 7b/o(-C' !r FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval:. Date Applicant Contacted: Date FOI fulfilled of denied: Closed by: Date: 1 Notes; - .p Amount Due: Pages for a total of [check here if you are requesting that the records be mailed to this address. Agency or firm: 1� LAN Telephone : ( 4 i ? ) Y&_- FAX #: { ) �- Email address: c?f (t4 �W 1 � c vcaC `� c' �a r u r , C o � y SPECIFIC DESCRIPTION OF RECORD: FORMAT OF RECORD (if available) 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. �—g accordance with the fee schedule on the back of this application I t_J 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