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Farms Can Be Submitted via Email to Iniccotiolo,grue(ii'tONVIlOfNvappcn erny. Dov or
_grobinson(ir,townofwa in :rernw.c)v or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 1.2590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni -1
Lori McConologue
Grace Robinson
Date Received: / /
FOIL Ser. #: ���-
In0117\ N 905 11101
ASSESSOR
❑
ACCOUNTING
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CODE ENFORCEMENT
HIGHWAY
❑
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
❑
TOWN CLERIC
❑
WATER/SEWER
❑
DOG CONTROL OFFICER
TOWN ENGINEER
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TOWN ATTORNEY
El
TOWN OF WAPPIT' GER
Application for Public Access to Records
EE
BuOding DeParl,mo"t
Town of Wappinger
REI UEST
i 'c, I ed,
Date Received by Dept
Department Head approval
Date Applicant Contacted:
Date FOI fulfille denied
Closed by:
Date:
C ,' ' J ',vd
Notes:(1,
Amount Due: Pages for a total of $
Name: fit' F-] check here if you are
Address: ,' 6 requesting that the records
bf Act I' G f 7 ���� C:'� be mailed to this address.
Agency or firm:
Telephone #: ,�7L-7- / ,- - FAX #:
Email address:
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available) ��w. f? 3q,(%
1H 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
I request that the records be faxed to the number listed above