355Click Mere To Search Our Public Records Database Before Submitting Request
Fours Can Be Submitted via Email to hmcconologue(&townofwappingerny.gov or
grobiiison(c4townofwappingerny.gov or in personNia mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR. INTERNAL USE ONLY
Received by: Joseph P. Paoloni 11
Lori McConologue
Grace Robinson
Date Received: / 1 ,---
FOIL Ser. #: C-: rT a�� -- �
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
❑I
RECEIVER OF TAXES
RECREATION
❑
SUPERVISOR
TOWN CLERK
D
WATER/SEWER
❑
DOG CONTROL OFFICER ❑
TOWN ENGINEER
❑
TOWN ATTORNEY
❑
TOWN OF WAPPI +SER
Application for Public Access to Records
�4,ece'Ned FOIL REQUEST
TOWN OF WA PPI I
pit
FOR DEPARTMENT USE ONLY
Date Received by Dept /t,
-
Department Head approval:
riot)
Date Applicant Contacted: /d/ I )o)-13,
Date FOIL fulf lle or denied: I/
Closed by:d' �5
Date: I / ..
Notes:
06 V'9 "t,.,O�L
Amount Due: Pages for a t tal of
Name. 11 _ r' W c' - -'I Qcheek here if you are
Address: 6 ' Q ton iii y " c-- requesting that the records
ra4bc-o"'a".-5 , 5 t -�-elo be mailed to this address.
Agency or firm: 11 U
Telephone #: ' ) " b] - r FAX #i:
Email address: G` reg, . 1— i� r
SPECIFIC DESCRIPTION OF RECORD:
f A i
FORMAT OF RECORD (if available)
Irequest 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
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