2024-139Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to ImcconologLicA'townofwappingerny.gov or-
grobirtsori(c townofwappingerny.gov or in person/via snail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni -1
Lori McConologue
Grace Robinson C
Date Received:
FOIL Ser.�q.'_>
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑ r
CODE ENFORCEMENT
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HIGHWAY
[l
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
❑
WATER/SEWER
DOG CONTROL OFFICER ❑
TOWN ENGINEER
❑
TOWN ATTORNEY
❑
TOWN OF WAPPI i ER
Application For Public Access to Records
UEST
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FOR DEPARTMENT USE ONLY
Date Received by Dept Ir 1
Department Head approval:
Date Applicant. Contacted: / <' ql )Y
Date FOl ,ulevN filleDdr denied:
Closed by.
Date:
Notes:
Amount Due: j Pages for a total of $ r
Name: c1 = L\0O check here if you are
Address: Lv �'h e .. 'a, tr, h 6 requesting that the records
r v ''S = o ,{ l p be mailed to this address.
Agency or firms: I ..- 10
Telephone #: ( q5j FAN ( -
Email address:
SPECIFIC DESCRIPTION OF RECORD:
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 request that the records be sent via e-mail to the address listed above
❑ 1 request that the records be faxed to the number listed above