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2025-109Click here To Search Our Public Records Database Before Submitting Request Farms Can Be Submitted via Email to li-ncconola;-LMe(itstou°iiokva iii crit .-av or rob nsan eta vnofwa yin ern . o, or in p s 1 °lo 20 Middlebush Rd Wappingers Falls, NY 12.590 P . Z 0.r FOR INTERNAL USE ONLY TOWN OF WA PINGER "Irl 01, 1 r Public Access to Records Received by: Joseph P. Paalani REQ UES " Lori McConologue ] Grace Robinson Date Received: / !_ FOIL Ser. #:�''' DEPARTMENT: ASSESSOR ❑ ACCOUNTING CODE ENFORCEMENT ©' HIGHWAY ❑ RECEIVER OF TAXES El RECREATION ❑ SUPERVISOR El TOWN CLERK 'NATER/SEWER ❑ DOG CONTROL OFFICER ❑ TOWN ENGINEER ❑ TOWN ATTORNEY ❑ Bu -0'M9 Depart ,Ment -tan of VdaP FOR DEPARTMENT USE ONLY Date Received by Dept 3/ Department Bead approval: . (snit) Date Applicant Contacted: / Date FOIL lfilled denied: Closed by: Date: Notes: w ry nrr Amount Due: Pages for a total of S Name: " ❑ check here if you are Address: requesting that the records "D be mailed to this address. Agency or firm: Telephone ##: (` � ) -`) � FAX #: ( ) - Email address: SPECIFIC DE.$CRIPTIRN OF RECORD, : FORMAT OF RECORD (if available) 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 0 I request that the records be sent via e-mail to the address listed above ❑ I request that the records be faxed to the number listed above