2024-154Click Here To Search Our Public Records Database Before Submitting Request.
Forms Can Be Submitted via Email to ImcconolO-,LIC rr to nofwappuagemy. ov or
grobinsow�ownofwappin�erny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
TO O F'APP GER
A lication for Public Access to Records
Received by: Joseph P. Paolon.i 0orf
Lori. McConologue
OIL REO UE T
Grace Robinson ❑,
.,
D�t
Date Received:
FOIL Ser, #: _ot
�d rl
-
...r' Uftng G pa1Atn1 j,ppOWN
OF MIA nr—
DEPARTMENT:PARTTEvT:
ASSESSOR
ER
FOR DEPARTMENT USE ONLY-
-ACCOUNTING
Date Received by Dept
CGDE ENFORCEMENT
HIGHWAY
Department Head approval:,.
DECEIVER OF TAXES ❑
�V
RECREATION ❑
Date Applicant Contacted:
SUPERVISOR ❑�
TOWN CLERK 0
V
Date FOIL(ffulfilled o denied:
WATER/SEWER 0
DOG CONTROL OFFICER
Closed by:
TOWN ENGINEER 7
Date:
TOWN ATTORNEY ❑
Notes:, '"
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Due: Pages for d tot4l of $
Name: '�wy 4A. t��r,..rr`� ��_ _ ❑check here if you are
Address: " .. " , , µ , „ -r :, ��,1; . requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: FAX : )
Email address:
SPECIFIC DESCRIPTION OF RECORD: _
li- � k �� �... �:...� ,�.-�, "•�wy u1 �" �c.�.a�' ta° �'"1�''a `� � � "� �"�r` "1 `"e� "�'�^� �� a°�"'*��::.�-� ��"�'�, � 3�j
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FORMAT OF RECORD (if available) 55
IHrequest 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
E] I request that the records be sent via e-mail to the address listed above
7 1 request that the records be faxed to the number listed above