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Forms Can Be Submitted via Email to Imeconotogue(c-vtownofwappingemy.gov or
grobinsonLy,townof�vappingern y.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 -1
Date Received
FOIL Ser. #:
DEPARTMENT:
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Agency or fin -n:
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Z)" FAX #:
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Email address:
RECREATION
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SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
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Application for Public Access to Records
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Date Received by Dept
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Name.
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Address:.
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requesting that the records
be mailed to this address.
Agency or fin -n:
Telephone #:
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SPECIFIC DESCRIPTIPN
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OF RECORD:
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FORMAT OF RECORD (if available)
IH 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 request that the records be sent via e-mail to the address listed above