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20 MIDDLBBUSI-I lU).
WAPFINGBRS FALLS. NY 12590
TOWN CLBlU{ .
OFFICE: 84S-291-S771-.PAX: 845-298-1478
APPLICATION FOR PUBLIC ACCESS TO RECORDS -
Date Request Received: jJ r95 J II FOIL# )J 0
Recorded: Chris Masterson, Town Clerk
From:
Print Name: ~no.~o.. ~\fA '
Agency or Firm: ~ ~- p
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Tel.#: 5ilc:J,ID~-o'2io Fax#:5'I('-US-~ _ ''1
I hereby apply to: inspect the following record and/or
>< receive a copy @ .25 cents !page if available to the public '
Description of record requested: ~ ~y .,.p Surt/l'l iI/C
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RECEIVED BY: . (
DATE RECEIVED: - s~ II
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