2024-156Click Here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to lmcconolo uec townof a in ern ov or
grobinson ccr townofwat hi giiy. ov or in person/via mail to 20 Middlebush. Rd Wappingers Falls, NY 125911
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Leri McConologue
Grace Robinson C]
Date Received: / I
FOIL ',Ser. #:
DEPARTMENT:
TO
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
0
RECEIVER OF TAXES
RECREATION
0
SUPERVISOR
TOWN CLERK
WATER/SEWER
❑
DOG CONTROL OFFICER
❑
TOWN ENGINEER
TOWN ATTORNEY
[�
Name: p�lQnOe.
Address; q 14 0( c
. jai 61 0
Agency or firrn; 'hoc
Telephone #I:
Emailaddress:
S
TOWN OF WAPPINGE
Application for Public Access to Records
FOIL REQUEST
wed
q 3 Z, Z4
FOR DEPARTME&T USE ONLY
Date Received by Dept f
Department Head approval:
snit)
Date Applicant Contacted: 1,3 I
Date FOIL fulfilled or denied: / 2
Closed by:
Date: / _ 1c
V,
Notes: V,',
Amount Due: ---Pages f6r a total of $ --
[chec[]check
k here if you are
I')Q j V requesting that the records
t -i1 1\ i J be mailed to this address.
-a-jc FAX #:
SkPCIFIC DESCRIPTION OF RECORD:
ic)
FORMAT OF RECORD (if available)
I request 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