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Forms Can Be Submitted via Email to ImcconolOgLie (ii,)townofwappi'Rgern yDov or
grobinson(2r,townofwappjngcr or in person/via mail ter 20 Middlebush Rd Wappingers Falls, NY 12590
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FOR INTERNAL USE ONLY MMI,
jTOWN OF WAPPINGER
l p I �14#01ication for Public Access to Records
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by:
Received Joseph P. Paolo , " I
Lori McConologue �'WN31
FOIL REOUEST
Grace Robinson J
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Date Received.,
FOIL Ser. ft: /6C
APR ?025
Sullftg Department K
TOWN
DEPARTMENT:
ASSESSOR ❑
F_rDrFMtTfvt NT USE ONLY
ACCOUNTING ❑
CODE ENFORCEMENT
Date Received by Dept
HIGHWAY
Department Head approval:
RECEIVER OF TAXES ❑
intt
t)
RECREATION E]
Date Applicant Contacted,
SUPERVISOR ❑
TOWN CLERK F-1
Date FOIL fulfilled or denied: L -.5
W-ATErCSEWER
DOG CONTROL OFFICER r -n
Closed by: Ef hel-el-
TOWN ENGINEER ❑
Date: 11
TOWN ATTORNEY El
Notes:
Amount Due: - Pages for a total of
Address:
Name: 6 OL '7 R__6 u6E)rx.lo EIlreckqhere if you are
uesting that the records
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be mailed to this address.
Agency or firm: C9 tj te'14-1 0 '--1 j ("j Q�_t
Telephone #-. ('ILI� _�ZE- > FAX #:
Email address:—.. ..-
SPECIFIC DESCRIPTION OF RECORD:
ly.253- 0'0- 971 59C
FORMAT OF RECORD (if available)
IH request to be notified when I can come to inspect the record(s) described above 1 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