2025-146'o?Y'7- 0/`077�97
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Forms ('an Be Submitted via Eniall to (':'ov or,
. r......._._.._or in l)eFS011/via mail to 20 MiddlebLIS11 Rd Wappingers Falls, NY 12590
FOD INTERNAL USE ONLY
Received by: Joseph P, Paoloni I I
Lori McConologue �O
Grace Robinson I I
Date Received:
FOIL Ser. 9:
DEPARTMENT:
ASSESSOR
E]
ACCOUNTING
El
CODE ENFORCEMENT
HIGFIWAY
F]
RECEIVER OF TAXES
RECREATION
SUPERVISOR
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
E]
Name:
Address;
Agency or firm:
Telephone #:
Email address:
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQ (JEST
j H
Buitding Departrnant
TOWN OF WAPPINGER
FOR DEPARTMENT USE _QNLY
Date Received by Dept
Department [lead approval:
Date Applicant Contacted
Date FOIL fulfilled or denied
Closed by.
Date:
(Init)
ZIA
Notes-,
Amount Due. T, -otal of
FAX #:
neck h are
retries 5 tf the records
be mp :d to his address.
SPECIFIC DESCRIPTION OF RE)RD-
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FORMAT OF RECORD (if available) aL)
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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