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2025-73Click f-lere To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to ImcconolOgn f=1 or aiLobinson yg2L or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni Lori McConologue Grace Robinson Date Received: FOIL Ser. #: DEPARTMENT: ASSESSOR ❑ ACCOUNTING CODE ENFORCEMENT HIGHWAY RECEIVER OF TAXES RECREATION ❑ SUPERVISOR ❑ TOWN CLERK WATER/SEWER DOG CONTROL OFFICER TOWN ENGINEER ] TOWN ATTORNEY 1:1 Name: Address: MM 1A TOWN OF SVA PPINGER Application for Public Access to Records CPO-, Lj 130 Buiid'ing I,OvVN Of Date Received by Dept Department Head approval Date Applicant Contacted: Date FOI 'Qu—I! 1tile9 r denied Closed by: Date: Notes: vo" 01 Amount Due: Pages for a total of $ c ,3Q Agency or � " �u C:�'- Telephone FAX. #: Email address: &0 W(. V° s -�mak') , C�,' Fcheck here if you are requesting that the records be mailed to this address. SPECIFIC DESCRIPTION OF RECORD: kUk"W'c LAX- 2-,. (p, L4 FORMAT OF RECORD (if available} & - q IH 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