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Forms Can Be Submitted via Email to li-nceonolo,gueLi�townofwappingemy gov or in person/via mail to 20
Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY i
Received by: Joseph P. Paoloni OCT Application for Public Access to Records
Lori McConologue .14 2 0 25 FOIL REOUEST
Grace Robinson
10wF1 of Wappinger
Date Received:
FOIL Ser.
DEPARTMENT:
ASSESSOR
L AC
CODOE ENFO-EC.�
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
Name: .10 "f" -
Address: 1<0 T-4
SAI r 1
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
Date Applicant ro-tacted-, /C,/ 0-J
Date 17O10fulfilled,)ir denied: Id 11 /)0
Closed by:
Date:
f
Notes: and (-4,
Amount Due: _ Pages for a total of $
Agency or firrn,
Telephone
34jr;) FAX
Email address: hRrt
WMYA)o C'
SPECIFIC DESCRIPTION OF
check here if you are
requesting that the records
be mailed to this address.
FORMAT OF RECORD (if available) OC
I request to be notified when I can come to inspect the recon
1 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
,Iie—queA-ffiathe --Nc,ords-bz.s—eiit e
a vi-
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I request that the records be faxed to the number listed above