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2025-189Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via. Email to Imcconolo�ue townofwapp ngerny.gov or Lrob inson Lijownofwappingemy.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P'. Paolom -1 Lori McConologuo T* n Grace Robinson Date Rcceived: 1 FOIL Ser. #: DEPARTMENT: ASSESSOR ❑, ACCOUNTING CODE ENFORCEMENT HIGHWAY ❑ RECEIVER OF TAXES ❑ RECREATION El SUPERVISOR ❑ TOWN CLERK: ❑ WATERISEWER ❑ DOG CONTROL OFFICER ❑ TOWN ENGINEER ❑ TOWN ATTORNEY ❑ Name: Address: Agency or firm: Telephone ##: ( I' Email address: ceived TOWN OF WAPPINGER A) 17 2Mkpplication for Public .Access to Records N FOR DEPARTMENT USE ONLY Date Received by Dept `51V�ilo Department Head approval: Date Applicant Contacted: 6 /,, "t Date FOIL fulfilled or denied: / / «5 Closed by: ;. Date: Notes: 1 , , r Ufa. Cie 61 i'; /)' S- Amount Due: I Pages for a total of $ 13, ate"_., "©check here if you are requesting that the records be mailed to this address. YS3-.1 FAX #: ( } -- nr� .._a ) t yc-tat" c SPECIFIC DESCRIPTION OF RECORD: Lam 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 cost of such records in ❑ accordance with the fee schedule on the back of this application I be request that the records sent via e-mail to the addrcss listed above 7 1 request that the records be faxed to the number listed above