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2024-375Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to Imcconologue @6townofwappingern y,gov or grobiiisoiict,townofwappingen-iy.go or in person/vinail to 20 iddlebush Rd Wappingers Falls, NY 12590 'e c FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni T9 w r) Lori MCC011010gLIC 7 Grace Robinson F_ Date Received: /I FOIL Ser. DEPAR'I'MENT: ASSESSOR A Name: I —_ ­_ _ \,),e -S []check here if you are ACCOUNTING ❑ CODE EN FO RCEMENT nx HIGI IWAY Agency or RECEIVER OF TAXES ❑ RECREATION Email address: 7,-rr L q 42- C'_ ("Pi SUPERVISOR ❑ TOWN CLERK WATER/SEWER ❑ DOG CONTROL OFFICER F1 TOWN ENGINEER ❑ TOWN ATTORNEY N 31 VTO" OF WAPPINGER 1' Wa'-Nal�'atioil for Public Access to Records FOIL REOUEST FOR DEPARTMENT USE ONLY Date Received by Dept -12 /. .�- / "')C-/ � 1, a—L Departnient Head approval: ZLA o Date Applicant Contacted: 1 --_2 / 6 /, 2 V_ Date FOIL fulfilled or denied: 19V Closed by: ­,' ) /-) Date: / 6 / ;-r) (-/ Notes: Amount Due: Pages for a total of $ A Name: I —_ ­_ _ \,),e -S []check here if you are Address: "Srequesting that tl.-tc records I L!5 9 C.a be mailed to this address. Agency or Telephone )�N� I - FAX #: Email address: 7,-rr L q 42- C'_ ("Pi SPECIFIC DESCRIPTION OF RECORD- krjLA'�"- tpL- f K - - Q -h CLV1 C . . . ...... ... FORMAT OF RECORD (if available) IH request to be notified when 1. can come to inspect the record(s) described above I request copies of the reg orris described above and agree to pay the cost of such records in accordance with the fee schedule on the back of this application I be request that the records sent via e-mail to the address listed above F-1 I request that the records be faxed to the number listed above