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2026-104TOWN OF WAPPINGER - FOIL -REQUEST FORM-2023–Fillable... file:///C-,/Users/mpg34/Downtoads/FOIL-REQUEST-FORM-2023–Fil... ('"'I ick I lere To Search Our Public Records, Database Before Submitting Request Forms Can Be Submitted via Email to V" I '� V oi- . ............ . . .... !2. 11 in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni Ll Grace Robinson 0 Lisa Patterson F Date Received: // FOIL Ser. #: –02A 2 r. –_' 0_1 DEPARTMENT: ASSESSOR ❑ ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY F] RECEIVER OF TAXES El RECREATION El SUPERVISOR E] TOWN CLERK El WATER/SEWER ❑ DOG CONTROL OFFICER ❑ TOWN ENGINEER TOWN ATTORNEY El TOWN OFWAPPINGER Recelv6dplication for Public Access to Records ENE FOR DEPARTMENT USE ONLY Date Received by Dept 5_1 Department Head approval: Date Applicant Contacted: Date FOI]Qfulfilled br denied: D Closed by: Date: Notes:Cek.Q�L4"C_J 'vi ­a4 Pe W Ali, Amount Due: — Pages for a total of $ . ......... . Name: K(Ari'(Ao ?ed"-5eil _1 G Address: 411 Nn&eh l" 11 Agency or firm: 1 4 01 Telephone #:( qqS) LM pi FAX #: Email address: ---D'° F�check here if you are requesting that the records 0 be mailed to this address. SPECIFIC DESCRIPTION OF RECORD: '"LeYhOL17 4,11)a+ -i UW)C'A how 6 kA U -C 1, q 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 F-1 accordance with the fee schedule on the back of this application be listed I request that the records sent via e-mail to the address above F-1 I request that the records be taxed to the number listed above 1 of 2 5/4/2026, 6:44 AM