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Forms Can Be Submitted via Email to lmcconolOgLle(itownofwappin ern.y.,gov or
grobinson( townofwappin er�,< v or in person/via mail to 20 Middlebush Rd. Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lori McConologue
Ornrel Rnhincnn I* r
Date Received:
FOIL Ser„ ##: ?'
DEPARTMENT:
ASSESSOR
[l
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
❑
RECREATION
n
SUPERVISOR
El
TOWN CLERIC
❑
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
0
T01WN OF WAPPINGER
Application for Public Access to records
FOIL REOUEST
SII P '18 202'4
Buildina Dei)art�al"t nt
�.RTMENT USE ONLY
Date Received by Dept l
Department. Head approval:
lio-
Date Applicant Contacted: 9
Date FOIL ulfilled Q, denied:
Closed by: L
Date:
Nates: UPH n Ne
J
Amount Due: Pages for a total of S
Name: ®check here if you are
Address; requesting that the records
�� ecce be mailed to this address.
Agency or firm: r
Telephone ##: (>t j�, - a., FAX ( -
Email address:
SPECIFICSCRIPTIONF�RECOR,,D��
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
F-1.
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