2024-355Click Ilea -c To Search Our Public Records Database f e , bmrtting Request
Forms Can Be Submitted via Email to IInccono9o0ue(c�?,towvnof%va 7iri cern ,gov or
rc !� n son (c(town ofw ata in ern e or inperso ,M ii i) ? () Middlebush Rd Wappingers Falls, NY 12594
FOR INTERNAL USE ONLY y°Ai,,, �t,.'`"Pt# TOWN
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Received by: Joseph P. Paoloni
Lori McConologue
Grace Robinson C
Date Received: J I
FOIL Ser.
DEPARTMENT:
ASSESSOR
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ACCOUNTING
CODE ENFORCEMENT
kr
HIGHWAY
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RECEIVER OF TAXES
El
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
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TOWN ATTORNEY
tw
9 Department
OL`� apPirm ar
OF WAPPINGER
for Public Access to Records
fl OIL RE() NEST
FOR DEPARTMENT USE ONLY
Date Received by Dept ft /
Department Head approval:
snit)
Date Applicant Contacted:_LLf /
Date FOIL fulfilled or denied: l / 7 1
Closed by:
Date:. I
-7 12q
Notes:
4
Amount Due: Pages for a total of
Name: ,a ❑check here if you are
Address: V, f- requesting that the records
', l"A i :'7( be mailed to this address.
Agency or firm:r " a,
Telephone #: (t µ ) _ ( 'FAX #: ( )
Emailaddress: I 1. I'` � ." ( "'
SPECIFIC DESCRIPTION OF RECORD: a
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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 recods in
accordance with the fee schedule on the back of this application
0 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 �