2024-176Click I-Icre To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to Imeconolof ueCc townofwappingerny. ov or
grobinson(cDtownofwa pingerny.gov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Josepb P. Paoloni I
Lori McConologue
Grace Robinson P
Date Received: _ / l
FOIL Ser. #: ' W `7
DEPARTMENT:
ASSESSOR]
ACCOUNTING
El
CODE ENFORCEMENT
HIGHWAY
0
RECEIVER OF TAXES
El
RECREATION
11
SUPERVISOR
El
TOWN CLERK
1-1
WATER/SEWER
DOG CONTROL OFFICER 7
TOWN ENGINEER
11
TOWN ATTORNEY
11
Name:
Address:
Agency or firm:_
Telephone :
Email address:
TOWN OF WAPPINGE
Application for Public Access to Records
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FOR DEPARTMENT USE. ONLY
Date Received by Dept t I r
Department Head approval:
(ant)
Date Applicant Contacted:
Date FOI fulfilled or denied:
Closed by: a °
Date:
Notes:
Amount Due: __ Pages
a total of $
[]check here if you are
y requesting that the records
be mailed to this address.
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FAX #: ) _ LIS
SPFCIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)- "TMS
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
0 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