Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
2024-131Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to lmcconolo tie &townofwa in ern ov or
grobinson(oi,townofw�erny. ov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 125,90
FOR INTERNAL USE ONLY
Received by: Joseph. P. Paoloni 1
Lori McConologue
Grace Robinson i
Date Received: _/_/
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
1-1
ACCOUNTING
CODE ENFORCEMENT
IIIGIIWAY
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
❑
TOWN CLERK
0
WATER/SEWER
DOG CONTROL OFFICER ❑
TOWN ENGINEER
TOWN OF WAPPI GER
Application for Public Access to Records
UIl in tiepar`tNis nt
Town of WaPpinger
FOR DEPARTMENT USE ONLY
Date Received by Dept pt))
Department. Head approval:�
Date Applicant Contacted:
Date FOIL fulfilled or denied: /
Closed by:
Date:
Notes:.
Amount Due: � Pages for a total of
- Name: ' R check here if you are
Address: " requesting that the records
VJ.A d.,,n t ry-iz rZ_ fA 11 <" 1. l4 ("- �:m I be railed to this address..
Agency or firm: V U 1
Telephone #: ( )�,5)" - FAX #: � )
Email address: 1 0 i "' 7 q q r A, V. L � f
SPECIFIC DESCRIPTION OF RECORD.-
) r
FORMAT OF RECORD (if available)
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 such records in
accordance with the fee schedule on the back of this application
I I request that the records be sent via e-mail to the address fisted above
❑ I request that the records be faxed to the number listed above