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rel�l Our Public Records Database Before Submitting Request
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of iii person via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
Name: B L t ®check here if you are
Address. requesting that the records
be mailed to this address.
Agency or firm:
Telephone 9: 1-7 FAX #:
Email address:, ''j I C -to r t2. CnA11AQ_q_HcLd
SPECIFIC DESCRIPTION OF RECORD:
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L
FORMAT OF RECORD (if available) (
Hfrequest, 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
_N A I _- K L, QN L�_ TOWN OF WAPPINGER
ReCeived, by: Joseph P. Paoloni e(, (�NNje(Pplication for Public Access to Records
Lori >�, FOIL
McConolog,le REQ
Grace, Robinson COVEDD
Date, Received:
FOII, Ser. 2 15
Buildfrig Department
DEPARTNIFNT: Town Of WPInger
ASSESSOR E_QR QLEP�A MENT USE ONLY
ACCOUNTING
CODE
ENFORCEMENT Date Received by Dept
HIGHWAY Department fleadapproval:
RECEIVER OF TAXES
RECREATION El Date Applicant Contacted:
SUPERVISOR ni
TOWN CLERK E] Date FOIr denied:
tf�)mm
WATER/SEWER M i
DOG CONTROL OFFICER Fj Closed by:
TOWN ENGINEER Date:
TOWN ATTORNEY
Notcs:0_710�_a
L—Amount, D= _ Pages for a total of S_
Name: B L t ®check here if you are
Address. requesting that the records
be mailed to this address.
Agency or firm:
Telephone 9: 1-7 FAX #:
Email address:, ''j I C -to r t2. CnA11AQ_q_HcLd
SPECIFIC DESCRIPTION OF RECORD:
4,0�1
L
FORMAT OF RECORD (if available) (
Hfrequest, 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