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2024-359Click l lere To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to Irricconolo,o ue'ci toa nofe appingerny.gov or p1 i y.g pq 1 � 'I to 2tJ Middlebush Rd Wappingers Falls, Ni' 12590 robii�sr>nCC#atownofwa pp or in „ FOR INTERNAL USE ONLY0 TOWN OF WAPPIN E �Ovvn � f �tJJ U�pP -plication for Public Access to Records Received by: Joseph P. PaoloniEQUE T CP,w �i Lori. McConologue �ti 'r Grace Robinson '.. Date Received: / 0 FOIL Ser. 4: DEPARTMENT: ASSESSOR ❑ ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY ❑ RECEIVER OF TAXES ❑ RECREATION SUPERVISOR ❑ TOWN CLERK ❑ WATER/SEWER ❑ DOG CONTROL OFFICER TOWN ENGINEER ❑ TOWN ATTORNEY ❑ Bujjdjrjg TOWn 00W7rtMen _-pperigel, FOR DEPARTMENT USE ONLY Date Received by Dept PO / I / Department I -lead approval: (gin it) Date Applicant Contacted: ( 0 / 91 / c2 Date FOIL fulfilled or denied: 1 /,?/ Closed by: Date: Notes: r V�etA)elI Amount Due: — Pages fora total of $ — Name: 7 ''V check here if you are Address: requesting; that the records " // e mailed to this address. Agency or firm: Telephone ##: (%.. ) _ AX #: ) Email address: ?. fdDaW 46)6r4 SPECIFIC DESCRIPTION OF RECORD: 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 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