334Click Here To Search Our Public Records Database Before Submitting Request
Forms Can BeSubmitted via Email to Imccon0leg Lie (,townofwapp ingerny.gov or
grobinsonc townofwappin crny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY" 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni _i
Lori McConologue 7
Grace Robinson F
Date Received.
FOIL Ser. ##:
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
Agcncy or firm:
CODE ENFORCEMENT
Telephone #: (0) ' -�, FA -X#:
HIGHWAY
0'
RECEIVER OF TAXES
0
RECREATION
1:1
SUPERVISOR
TOWN CLERK
WATER/SEWER
❑
DOG CONTROL OFFICER [:1
TOWN ENGINEER
El
TOWN ATTORNEY
to be notified when. I can come to inspect the record(s) described above
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept /
Department Head approval:
*,n
Date Applicant Contacted: 1i
Date FOIL lElled r denied:
Closed by:
Date: , d 1 /
Notes: a f J
Amount Due: Pages for a total of $
Namc: � I ccheck here if you are
Address: 5l "el requesting that the records
.! be mailed to this address.
Agcncy or firm:
Telephone #: (0) ' -�, FA -X#:
Email address:
SPECIFIC
DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)! w
HIrequest
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 sLich records in
E,
accordance with the fee schedule on the back of this application
I request that the records be sent via c -mail to the address listed above
I request that the records be faxed to the number listed above