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2025-375Click Here To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to, lmcconologueCtv:townofw4ppingemy.gov or J gro bins onCa]) townofwavoingemy gov or in person/via mail to 20 Middlebush Rd Wappinge s, NY 12590 FOR INTERNAL USE ONLY TOWN OF WAPPIN GER Ior Public Acces 0 Records Received by: Joseph P. Paoloni Lori McConologue Grace Robinson Date Received FOIL Ser, #: DEPARTMENT: 6 ASSESSOR 11 ACCOUNTING El CODE ENFORCEMENT HIGHWAY RECEIVER OF TAXES E] RECREATION 11 SUPERVISOR El TOWN CLEF -K 0 WATER/SEWER DOG CONTROL OFFICER TOWN ENGINEER El TOWN ATTORNEY 11 Name: Address: P4 C) V () C3 2 0 25 FOR DEPARTMENT USE ONLY Date Received by Dept -[j- / '3 / Department Head approval: rL�_" `(�1_i t) Date Applicant Contacted: � 1 /3 /05 _LL — — Date FOIL fulfilled or denied: Closed by: Date: Notes: Amount Due: __I_ Pages for a total of S_ DS Agency or firm: Telephone 4: FAX #: Email address: co SPECIFIC DESCRIPTION OF RECORD: irve 14 6,25 7- 0 [:]check here if you are requesting that the records be mailed to this address, 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 1 request that the records be sent via e-mail to the address listed above