174Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to lodell{cr�townofwappingerny.og_y or in person/via mail to 20 Middlebush
Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni ❑
Lynn O'Dell ❑ r
Lori McConologue �O
Date Received: /—/—
FOIL
IFOIL Ser. #: ,moo '-) 1
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT
(t-
-I -PLANNING
❑
ZONING
❑
FIRE INSPECTOR
❑
HIGHWAY
❑
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
TOWN CLERK
WATER/SEWER
❑
DOG CONTROL OFFICER
❑
TOWN ENGINEER
❑
TOWN ATTORNEY
❑
TOWN OF WAPPINGER
,ece lication for Public Access to Records
FOIL REQUEST
.Own
clerk -
Name: Iq I •� -2� cD
Address: 1. a0p
FOR DEPARTMENT USE ONLY
Date Received by Dept 1�;-I I
Department Head approval:
(snit)
Date Applicant Contacted: 2— /
Date FOIL fulfilled or denied: / (� `� 5
Closed by:
Date:
Notes: 6- - !911 y cTe\-,,
Amount Due: _� Pages for a total of $ ZJI! "
Agency or firm:
Telephone #: Rl y ) a -)w - MM3 FAX #: ( } -
Email address:
❑ check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
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
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
11 I request that the records be faxed to the number listed above