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2025-191Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to lmcconologue(a,townofwappingerny.gov or grobinson(atownofwappingerny,gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni ❑ Lori McConologue ❑ Grace Robinson ❑ elved TOWN OF WAPPINGER Application for Public Access to Records JUk17 20z5 FOIL REQUEST F Date Received: Town C FOIL Ser. #: `�� o DEPARTMENT: ASSESSOR ❑ ACCOUNTING CODE ENFORCEMENT HIGHWAY ❑ RECEIVER OF TAXES ❑ RECREATION ❑ SUPERVISOR ❑ TOWN CLERK ❑ WATER/SEWER ❑ DOG CONTROL OFFICER ❑ TOWN ENGINEER ❑ TOWN ATTORNEY ❑ WkPpI ge yFss eov FOR DEPARTMENT USE ONLY Date Received by Det 1 X21 Department Head approval: �m Date Applicant Contacted: 5 1,99 1 _C9 5 Date FOIL fulfilled or denied: /041'z r l Closed by: Date: Notes: -/20/g- Amount Due: Pages for a total of $ Name: 1 k(j L.,,-- j_V__M i E] check here if you are Address: 1�3 V_Vy.1_ t requesting that the records. be mailed to this address. Agency or firm: �V1 Telephone #: (Fq(T 0 - FAX #: ( ) Email address: �Rn-41 In_) & kvc" ��� �Q VV') SPECIFIC DESCRIPTION OF RECORD: �� �.tA...iI.A°i�►,4 i1J i i 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