45C1ic1f Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to lodell townofwa in ern . ov or in person/via mail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: foseph P. Paoloni
Lynn O'Dell ❑
Lori McConologue ❑
Date Received: 2- I H_l7j
FOIL Ser. #: s& z .
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT
PLANNING
❑
ZONING
❑
FIRE INSPECTOR
❑
HIGHWAY
❑
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
❑
TOWN CLERK
❑
WATER/SEWER
❑
DOG CONTROL OFFICER
❑
TOWN ENGINEER
❑
TOWN ATTORNEY
❑
Name:
Address:
Agency or firm:
Telephone #: (9'�5 ) SSgj - %3 �1
Email address:
TOWN OF WAPPMGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept / / z
Department Head approval: q - -
nit)
Date Applicant Contacted: /(-7 /
Date FOIL fulfilled or denied: / �I 7 /
Closed by:Y4 5 =
Date: 1 i? /
Notes:CAS t,C
Amount Due: Pages for a total of $
FAX #: ( } -
SPECIF C DESCRIPTION OF RECORD:
V e iZ. ti►T 1eCCat�n
q!, US
❑ check here if you are
requesting that the records
be mailed to this address.
FORMAT OF RECORD (if available)
❑ 1 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
0 1 request that the records be faxed to the number listed above