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2024-362Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to Imeconologue a townofwappingerny.gov or grobinsonotownofwappingerny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni ❑ Rei Lori McConologue ❑ Grace Robinson ❑ DEC d Date Received: � ,/ Town FOIL Ser. #: �j'd� Tow DEPARTMENT: ASSESSOR ❑ ACCOUNTING ❑ CODE ENFORCEMENT N HIGHWAY 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 ❑ RECEIVER OF TAXES ❑ RECREATION ❑ SUPERVISOR ❑ TOWN CLERK ❑ WATER/SEWER ❑ DOG CONTROL OFFICER ❑ TOWN ENGINEER ❑ TOWN ATTORNEY ❑ TOWN OF WAPPINNGER iv Application for Public Access to Records FOIL REO UEST 15 2024: 'appinger Clerk � o F - Q FOR DEPARTMENT USE ONLY Date Received by Dept 10 Department Head approval: Date Applicant Contacted: &/ 1(0 / Date FOIL fulfilled or denied: (, IJ 1 j Closed by: % Date: Notes:'y Amount Due: - Pages for a total of $= Name:i C� G.j G''1(- E] check here if you are Address: ftY vc_ requesting that the records [.0 'Ad Is I n d be mailed to this address. Agency or firm: Telephone #: (qq V ) Email address: mn11\4q r' vi«2-)M.rr,�,,,, SPECIFIC DESCRIPTION OF RECORD: dV) o 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