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Farms Can Be Submitted via Email to grobins on( townofwappingerny.gov or
in person/via snail to 211 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL I..;rSE ONLY
Received by: Joseph P. Paotoni
Grace Robinson
Date Received
FOIL Ser. :
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
RECREATION
[�
SUPER'V'ISOR
E]
TOWN CLERK
❑
y ATERJSEWER
[❑
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
'
Name:
Address:
TOWN OF WAPPINGER
Application for Public .Access to Records
FOIL REQUE -Te
Cr; a ; W[[JC_
dng Depar-tmerit
n Of Wappinger.
RECD
VVappinger
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
snit)
Date Applicant Contacted: I ,
Kate FOI fulfil led rdenied:
Closed by:
Date: /d//f,/ tdr
Motes: I eb &..t-. 'C t :t(..
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Amount Due: Pages for d total of $
[]check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: ( -) _ FAX
Ernait address:...
SPECIFIC DT ,I PT ani OF RECO
c
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