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Forms Can Be Submitted via Email to Imccondboa !'61t6wnofwaj)pi2gEn= or
grobinson c,townofwa in em qv or in personYvia mail to 20 Middl.cbush Rd Wappingers Falls, NY 12590
JAN 3 0 20?5
Received by: Joseph P. Paoloni -1
Lori McConologue
Grace Robinson L
Date Received: S
FOIL Scr. #: (671r----)
DEPARTMENT:
ASSESSOR
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ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
F�
RECEIVER OF "TAXES
FORMAT OF RECORD (if available)
RECREATION
Irequest to be notified when I can conic to inspect the record(s) described above
SUPERVISOR
F-1
TOWN CLERK
F]
WA'"I'ER/SEWER
F-1
DOG CONTROL OFFICER [:1
TOWN ENGINEER
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TOWN ATTORNEY
F-1
P
",OWN OF WAPPINGER
Amlimlion-Bix-Public Access to Records
20?'K
FOR DEPARTMENT USE ONLY
Date Received by Dept 7 1
Department Head approval:
D,atc Applicant Contacted: —L -7 5
Date FOIL fulfilled or denied:
Closed by:
Date:
Notes: ;"'
D�a
AmountDLIe.' — Pages fora total of$
Name: jpJ 'Rolqodc, E]check here if you are
Address:
� 3a o requesting that the records
-/� 4r 12S -S -o be mailed to this address.
Agency or firm: t
Telephone 4: (?IYS 97 fe FAX Vii:
Email address: Q :2 oel,.-ro rg) Z.:Vt.. Am PAI. /-6 /1,1
SPECIFIC DESCRIPTION OF RECORD: %\
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FORMAT OF RECORD (if available)
Irequest to be notified when I can conic to inspect the record(s) described above
I request copies of the recoal's described above and agree to pay the cost of such records in
accordance with thel-ecschedule on the back of this application
I be listed
request that the records sent via c -mail to the address above
I request that the records be taxed to the number listed above