2024-132Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to Imcconolo ue(,-btownof appingeriiy.gov or
grobinson ci)townofwappingerny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni -1
Lori N4cCono10gue
Grace Robinson I
Date Received: / I
FOIL Ser. : _/_/
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DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
❑
RECREATION
❑
SUPERVISOR
Q
TOWN CLERK
{�
"WATER/SEWER
El
DOG CONTROL OFFICERF-11
TOWN ENGINEER
❑
Name:
Address:
wlication fbr Public Access to records
FOR DEPARTMENT USE ONLY
Date Received by Dept /
Department head approval:
Vnit)
Date Applicant Contacted: / I
Date FOIL fulfilled or denied:( I IDV
Closed by:
Date: /Ls /
Notes:
—_ d"
Amour Due: Pages far a total
.........................
❑ check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone i#: ( FAX #: r. '/ 3,
Email address: ✓ :.....m' �' c,` ; �" r�,.
SPECIFIC DESCRIPTION OF RECORD:r. I / .. �'i I )
a"ai m
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