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Forms Can Be Submitted via Email to I.mcconologue(�uto,wnofwa iia gernv.gov or
robinson' tow'noF),va pin ��ern gov or in i 'to 2 Middlebush Rd Wappingers Falls, NY 12590
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FOR INTERNAL USE ONLY `� . QW OF WAPPINGER
Too i c.) �i � ` i �iaplicatian for Public � ,cress to Records
Received by: Joseph P. Paoloni ��" 1, � �'
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Lori NlcConologue � c� REO VEST
Grace Robinson�
Date Received.
FOIL, Ser. ##:
DEPARTMENT:
ASSESSOR
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ACCOUNTING
CODE ENFORCEMENT
14IGI-1"tilr"AY
[,
RECEIVER OF TAXES
El
RECREATION
❑
SUPERVISOR
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TOWN CLERK.
❑
WATER/SEWER
DDG CONTROL OFFICER
TOWN ENGINEER
❑
TOWN ATTORNEY
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Name:. s
Address: r ate.
Agency or firm:
Telephone 4:
Email address:
jo"ilding D PW,,ent
Town of appinger
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FOR DEPARTMENT USE ONLY
Date Received by Dept l
Department Head approval:
t
Date Applicant Contacted:fel
Date FOII ultilled r denied: 7 1A / Xd- f
Closed by:
Date:
Notes:
Amount Due: y Pages for a total of J—t Ob
Qcheck here if you are
requesting that the records
s be mailed to this address.
FAX ##: (
SPECIFIC DESCRIPTION OF RECORD:
;rte IL ;A",; , � ' Z2
270
FORMAT OF RECORD (if available)
I 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
EI request that the records be faxed to the number listed above