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2025-320Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to lmccorLL " tiia]'wappin;erny. av or ,robinson( townofwa in cern .gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USS � "II � 1 l � 0" OF WAPPINGER. --[o n "—,1 e lea Application for Public Access to Records Received by: Joseph P. Paoloni 1 REQUEST Lori McConologue� Grace Robinson? Date Received: _/ I ��I ti �, JAr, FOIL Ser. #: 'iauildcr ro-fl DEPARTMENT: ASSESSOR ❑ ACCOUNTING �r CODE ENFORCEMENT HIGHWAY ❑ RECEIVER OF TAXES ❑ RECREATION 0 SUPERVISOR ❑ TOWN CLERK ❑ WATERISEWER ❑ DOG CONTROL OFFICER ❑ TOWN ENGINEER ❑ TOWN' ATTORNEY ❑ FOR DEPARTMENT USE ONLY Date Received by Dept // . Department. Head approval: Date Applicant Contacted: Date FOT fulfilled o denied Closed by: Date: 1) X J. s1 of Notes:('w'tl'Y Amount Due: Pages fo a total of $ Name: a_ ��� [check here if you are Address: 3 5` H -CU 1ZW_ requesting that the records ,,,,, ... " d Y' be mailed to this address.. Agency or firm: . Telephone #: -_5—t,36 FAX #: ( ) - Email address: SPECIFIC DESCRIPTION OF RECORD: C ~- FORMAT OF RECORD (if available) 670,q), . 0 /-3clff 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 ® I request that the records be faxed to the number listed above