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2026-55Click Dere To Search Our Public Records Database Before Submitting Request Forms Can Be Submitted via Email to robinson(&townofwappin erny.goor in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590 FOR INTERNAL USE ONLY Received by: Joseph P. Paoloni Grace Robinson Date Received: / P' FOIL Ser. #: azo DEPARTMENT. - ASSESSOR ❑. ACCOUNTING ❑ CODE ENFORCEMENT HIGHWAY Q RECEIVER OF TAXES ❑, RECREATION ❑I SUPERVISOR ❑I TOWN CLERK ❑' WATERJSEWER ❑I, DOG CONTROL OFFICER E ' TOWN ENGINEER D TOWN ATTORNEY ❑'', Qa�7 ,j.1'_<3'S_ •S_ c � �y EIt)) t LIMincg Departnien TOWN' OF WAPPINGER Application for Public Access to Records FOIL REOUEST Received MAR 2 3 7026 Town of WappOger Town Clerk FOR DEPARTMENT USE ONLY Date Received by Dept / r✓" Department Head approval: tn�t) Date Applicant Contacted: a / / (3 /r Date FOIL fulfilled or denied: /0 / Closed by: Date: /I TiltNotes: e . i lt.co Ln (J v ,. Amount bue: Pag3s for a t tal of Name: A° t 1� - r9_i ❑check here if you are Address: Y K 'It, 12 t- ,� �,�, requesting that the records a, r 'W �e.. 4- be mailed to this address. Agency or firm: d dya Telephone #: ( )- FAX #: Email address: � _.%�',....�"�:. rv': ....._(C.,-) SPECIFIC DESCRIPTION OF RECORD: 7 e FORMAT OF RECORD (if available) IH request to be notified when I can came 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