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2024-333Click llere To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to IMCCol7olo-IuC(Otownofuvappingerny,cov or (grobinson(k)to.vnofLva inyerny.gov or in person/via mail to 20 MiddlebUsh Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni -1 Lori McConologue Grace Robinson Date Received: FOIL Ser. #: '�''_i — DEPARTMENT: ASSESSOR 0 ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY ] RECEIVER OF TAXES 0 RECREATION 11 SUPERVISOR TOWN CLERK ❑ WATERISEW ER DOG CONTROL OFFICER TOWN ENGINEER ❑ TOWN ATTORNEY El TOWN OF WAPPINGER Application for Public Access to records FOIL RE bra a r,,, ng 1)c Of a �. k � 9 FOR DEPARTMENT USE ONLY Date Received by Dept LL Department Mead approval: _ (mit) Date Applicant Contacted: I � / 9 / Date FOIL f ilfilled or denied: Closed by: Date: lja/ 0 Notes: "� t41rtV Amount Duev: — Pages for a total of $ Name: chcek here if you are Address:G 'u requesting that the records r'...� be mailed to this address. Agency or firm.: Telephone #; ("/- FAX #: ( ) Email address:....'' SPECIFIC DESCRIPTION OF RECORD: ..S v ,35 t_ FORMAT OF RECORD (if available) Irequest to be notified when I can come to inspect the record(s) deseribcd above I request copies of the records described above and agree to pay tho cost of such records in accordance with the fee schedule on the back of this application 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