288'Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to IiiiecotiolozueLt)townofwapL)in�,,erny,gov or in person/via mail to 20
Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by. Joseph P. Paoloni
Lori. McConologue
/I
Date Received:
FOIL Sen 2 -
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY X
RECEIVER OF TAXES
RECREATION
SUPERVISOR
T&ffm=e��x
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
Name:
Address:
Agency or fin -n:
Telephone #: (ql R15 --
Email address: Of.
OF WAPPfNGER
Ntppylicatioin for Public Access, to Records
S E P 2(� -IL PXO UEST
Owl] of Wap
Town Clei
I I Lei I'M P) a V.111 111,14 11 "V 11112 11 a WKOPOM
Date Received by Dept
Department Head approval:
Date Applicant Contacted:
Date FOIL fulfilled or denied
Closed by:
Date:
Notes:
Amount Due: _ Pages for a total of $
FAX #: ( -
check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
1,aS 1-�4-�uA4
FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
1 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 abovel!�__
1 request that the records be faxed to the number listed above