2023-168i'::k T"cre To Search Our Public Records Database Before Submitting Request
Forns `Can Be Submitted via Email to lodell townofwa in era ov or in person/via nail to 201' a�iddlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Fi-
Lynn O'Dell
Lori McConologue
Date Received: /
FOIL Scr. #: ,
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑ ,
CODE ENFORCEMENT
PLANNING
ZONING
❑
FIRE INSPECTOR
❑
HIGHWAY
❑!
RECEIVER OF TAXES
11]
RECREATION
Imp
SUPERVISOR
TOWN CLERK
❑
WATER/SEWER
❑!
DOG CONTROL OFFICER
11
TOWN ENGINEER
❑
TOWN ATTORNEY
❑
Name:
Address:��a
h0,\,c 1 Y\
Agency or firm: p�c
Telephone (,�Ji cj ) qAtA
Email. address:
waPp,���
FOR DEPARTMENT USE ONLY
Date Received by Dept / .
Department Head approval:
xnat)
Date Applicant Contacted: / J ...
D
Date FOILfllilled r denied: 671 6/
Closed by:
Date:
Notes: '1'
Cil'of
Amount Due: Pages for a total of
0 check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
p
FORMAT OF RECORD (if available) e
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