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2025-187Cl.ckw.el-: To Search Our Public Records Database Before Submitting Request Farms Can Be Submitted via Email to lrncconolat;ucI)townolw p erny.gow or _._.__ arobinson("i t �vvI' rw ppGn ero7 mm av or in person/via snail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY , 2025 Received by: Joseph P. Paolonim FovF] olf Wap Lori McConologue Ili Grace Robinson. i- Fr Date Received: / J FOIL Ser. #: DEPARTMENT: ASSESSOR ❑ ACCOUNTING CODE ENFORCEMENT HIGHWAY RECEIVER OF TAXES ❑ RECREATION ❑ SUPERVISOR ❑ TOWN CLERIC ❑ WATER/SEWER DOG CONTROL OFFICER ❑ TOWN ENGINEER ❑ TOWN ATTORNEY ❑ TOWN OF WAPPINGER. Application for Public Access to Records Mo IL REQUEST T NI r.: �� „dAj`v✓rrw - r FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval: grit) Date Applicant Contacted Date FOIL uliille or denied: l Closed by: Date: Notes: a �� �fC �` ink Amount Due: Pages for a total of $ Name: ❑check here if you are Address: f, requesting that the records �t i � PALL , n6lib be mailed to this address. Agency or firm: Telephone #: FAX #: ( ) - Email address:, ttx SPECIFIC DESCIUP ION OF REMD: ,. FORMAT OF RECORD (if available) Z%,_. . `-,( -15-,_9 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 fared to the number listed above