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Forms Can Be to Submitted via Email to lin perg4 . l� rnofwappingerny.gov or
or vIa mall to 20 Middlebush Rd Wappingers Falls, NY 12590
MAY 13 2025
FOR INTERNAL LL14. .Y` O OF TAPPINGER
Received by: Joseph P. Paoloni "Tb1 � n tlblic Access to ec orris
Lori. McConologue I
REO UEST
Grace Robinson F
V'
Date Received.:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
❑J
CODE ENFORCEMENT
HIGHWAY
FORMAT OF RECORD (if available)
HIrequest 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
I request that the records be faxed to the number listed above
RECEIVER OF TAXES
RECREATION
❑
SUPERVISOR
TOWN CLERIC
El
DOCS CONTROL OFFICER ❑
TOWN ENGINEER ❑
TOWN ATTORNEY
Name:..
Address:
�y
Agency or firm: ('=
Telephone ##: (C }
Email address: ,r
Building Department
TOWN OF WAPPING'F!
FOR DEPARTMENT USE ONLY
Date Received by Dept / I
Department Head approval:
it)
Date Applicant Contacted:
Date FOIL fulfilled or denied: '�al /
Closed by:rr'`
Date: / lJS
Notes: ('l�Car %.,
CC
Amount Due: -- Pages for a total of $
,i 1 � \/_o ' check here if you are
requesting that the records
be mailed to this address.
IMAX #: C) -
SPECIFIC DESCRIPTIOI 017 RECORD
FORMAT OF RECORD (if available)
HIrequest 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
I request that the records be faxed to the number listed above