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Forrns Can Be Submitted via Email to In cconoIogLie(cr4ownofwappin,gernY.,gov or
�4robitisc)n(cc,townoRvappingg!ly.g2v or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 125911
R INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lori McConologue
Grace Robinson
Date Received:
FOIL Ser.
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE- ENFORCEMENT
HIGHWAY
FORMAT OF RECORD (if available)
I request to be notified wrhen. 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-ma.11 to the address listed above
�' I request that the records be faxed to the number listed above
RECEEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK:
El
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
0
TOWN OF WAPPINGER
Application for Public .Access to Records
FOIL REQUEST
ec
1 t°�
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FOR DE P.
Date Received by Dept
Department Head approval
Date Applicant Contacted:
Y
Date FOIL fulfilled or denied: // `7
Closed by:
Date:'/ l _.
Notes: ( ,, �1� -
Amount Due: __ Pages for a total of $
Name: ? Z-0 c5Z ! _._..._.___ check here if you are
Address:�.. ? &2�1'al -x'� � '- _ _._ requesting that the records
�✓ " 2 be mailed to this address.
Agency or firm:
Telephone 4: FAX : ( }
Email address:
........ .... .... ._
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)
I request to be notified wrhen. 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-ma.11 to the address listed above
�' I request that the records be faxed to the number listed above