2024-136Click Here To Search Our Public Records Database Before Submitting Request
Forms Can. Be Submitted via Email to lmcconologue(cDtownofwappingerny,M or
grobimson�ttownofwappingerny.gov or in person/via mail to 20 Middlebush Rd. Wappingers Falls, NY 12500
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Lori McConologue o °
Grace Robinson F
Date Received.: I /
FOIL Ser. #: "" -�
DEPARTMENT:
ASSESSOR
0
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
❑
RECEIVER OF TAXES
0
RECREATION
[�
SUPERVISOR
TOWN CLERK
❑
WATER/SEWER
DOG CONTROL OFFICER ❑
TOWN ENGINEER
❑
TOWN ATTORNEY
❑
TOWN OF WAPPINGER
Application for Public Access to Records
ILREQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
Date Applicant Contacted:
L ,
Date FOI fulfilled r denied: t" / NI
Closed by:
Date: / I
Notes:'C' f
Amount Due: Pages for a total of $ . JI
Name: C °' f ❑check here if you are
Address: t l� t Z. I requesting that the records
L... "M be mailed to this address.
Agency or firm:
Telephone #: ( } -I9 FA's. #:
Email address: ", r c6on _
SPE IFIL DERIPTION OF RECORD:
c l *-° �
Fa(
FORMAT OF RECORD (if available) 1' " o- � -
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 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
TRACY HAYNES
Town of Wappinger
20 Viddlebush Rd.
Wappingers Falls, NY 12590
(845) 297-6256
f a US Uhl I
Reference:
6157-01-216702-0000
Urfer, Diane
2434 Route 9D
04/19/2024
Date Fee Check No. Receipt No. PayType Amount
� 04/19/2024 1 COPIES 1 12024-00588 1 CASH 1 $0,25
This is a receipt for payment of fees. This is not a building permit.
Date Printed: 04/19/2024