302Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to Imccoiiologtieptowiiofvvappiligemy.gov or
ZE2b nson(a-),townofwappingemy.ev or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lori McConologue El
Grace Robinson F
Date Received:
FOIL Ser. #:
,
Fy,
ASSESSOR
D
ACCOUNTING
0
CODE ENFORCEMENT
F-1
HIGHWAY
El
RECEIVER OF TAXES
RECREATION
SUPERVISOR
F]
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
OCT 0 4 2R3
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
0 t)
Date Applicant Contacted:
Date FOItfulfil!y
led o denied
1(_
Closed by:
Date:
ti
Notes: R'Uleurd
Amount Due: Pages for a total of
Name: 0 check here if you are
Address:
requesting that the records
I -,q
-7_ 2's be mailed to this address,
'7
Agency or firm:
Telephone #: ,7 L.� FAX
Email address:
SPECIFIC DESCRIPTION OF RECORD:
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........ . ...... ..
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FORMAT OF RECORD (if available) 6�, SF-, 0 _3- C, '?/) (: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
E] I request that the records be sent via e-mail to the address listed above
0 I request that the records be faxed to the number listed above
Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to IMCC 011,0 10 gU cLa)townofwaPP.ingcrny. gov or
grobinson(c-t,)towiiofwappiiigerny.go or in persort/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paolorn
Lori McConolOgUe
Grace Robinson
Date Received
FOIL Ser. 4:
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING❑
CODE ENFORCEMENT
F -I
HIGHWAY
El
RECEIVER OF TAXES
RECREATION
❑
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
❑
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
(init)
Date Applicant Contacted:
Date FOILL61[111.ed, r denied: 10' Z'I 1-13
Closed by: ut;7
Date:
Notes:
Amount Due: _ Pages for a total of $
Name: ih,.6 mo'ticl ncheck here if you are
...... .. ..
Address: r,,O� j 6"Ia'Vul �•' requesting that the records
�C_A be mailed to this address.
Agency or firm:
Telephone #: rL,j FAX #:
Email address: (i)
C) ce ('6
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
I request that the records be faxed to the number listed above