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2025-101To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to or or in person/via mail to 20 lviiddlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni I W Lori lvlcConoloill] � r;. 'v Grace Robinson [late Received: �! FML Ser, ##: DEPARTMENT: ASSESSOR ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY RECEIVER OF TAXES D RECREATION SUPERVISOR TOWN CLERK 0 WATER/SEWER DOG CONTROL OFFICER TOWN ENGINEER TOWN ATTORNEY V e ("J TOWN OF W. .PI INGER 2 0 2,�.,N Application for Public Access to .Records FOIL REQUEST a ppiI..girk I r 1, p j 1, FOR DEPARTMENT USE ONLY Date Received by Dept Wim_ / 1z:5, Department Head approval: �iii �t} Date Applicant Contacted: - - / (( / K_ Date FOIL fulfilled or denied: Closed by. Date: Dotes: Amount Due: Pages for a total of Name: A/ 1 []check here if you are Address:requesting that the records be mailed to this address. Agency or firm: Telephone 4: (� � ���`� - _ ��' � FAX Email address:, SPECIFIC DESCRIPTION OF RECORD: 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 coast of such records in. accordance with the fee schedule on the back of this application �I I request that the records be sent via e-mail to the address listed above 1 request that the records be faxed to the number listed above