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Forms Can Be Submitted via Email to grobinsonLa)townofwappingeEn gov or
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in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12.590
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TO" OF WAPPINGER
Application for Public Access to Records
OIL REOUEST
N 0 V 2 0 2 5
Building Department
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Town of Wapping er
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Grace Robinson
Date Received:
FOIL Ser. #:
13*9W111"01"M
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
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TOWN ENGINEER
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TOWN ATTORNEY
1:1
Name: ' I
Address: -i �'5 v i t.
Ems
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval
Date Applicant Contacted:
Date r F011l(fulfilledD denied
en'ed
Closed by:
Date:
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Notes: a).eJ 00
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Amount Due: Pages for a total of S
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Agency or firm:
Telephone #:i FAX#:
Email address: P i 2-
Ocheck here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTIO OF RECORI):
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FOR -MAT OF RECORD (if available) &dY07 -0a - 73d 4P 1
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
F-1 I request that the records be sent via e-mail to the address listed above
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