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Forms Can Be 'Submitted via Email to grobiiison(&,townofwappingemy.gov or
in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni -1
Grace Robinson -1 APR 2 2026
Town of W ppinger
Date Received: / / TownJerk
FOIL Ser. : Jb
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
❑
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
❑.
TOWN CLERK:
C
WATER/SEWER
❑
DOG CONTROL OFFICER ❑
TOWN ENGINEER
❑
TOWN ATTORNEY
Q
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0ding De ftment
'TOWN OF WAPPINGE
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by DeptIpinit)7
6
Department Head approval
Date Applicant Contacted: lC12-5 /
Dane FOIL fulfilled or denied: 3/05/06
Closed by:
Date: fl
Notes:n
Amount Due: — Pages fora total of $
Name: / 2 r o ' j c LT?, ❑ check here if you are
Address: requesting that the records
be mailed to this address.
Agency or firm: 14!S_ 6e 9 ` c Q Q C r�' �,
Telephone #: ( ) 4/ - 7 FAX #: { ) -
Email address: 4,, 5,,�e c_T lt`r F" `-aC�t,..,.r -; J�q,,L
SPECIFIC DESCRIPTION OF RECORD
y r
FORMAT OF RECORD (if " ailable)
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
I request that the records be faxed to the number listed above