2024-211Click Here To 'Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Ismail to Incaono�ue(c�tovyt�o#wa���inge�ny.�oy or
grobinson@townofwappin ezz7y. ov or in person/via mail to 20 Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni Ill
Lori McConologue'
Grace Robinson 0
Date Received:
FOIL Ser.
DEPARTMENT:
ASSESSOR
❑
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
RECEIVER OF TAXES
El
RECREATION
SUPERVISOR
❑
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER El
TOWN ENGINEER
TOWN ATTORNEY
[�
Name:
Address:
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval: "
'r7it}
Date Applicant Contacted: / 1
w
Datc FO fulfilled rdenied:r-
Closed by:
Date:
Notes:,!'
Amount Due: Pages for a total of
Agency or fine: }
Telephone : (cjx_-3' }1 FAX #: ( } -
Email address:e/,1 '°'tel", ? ?
E]check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD: 6q t-po i4d 15 ° oc t<; P?'�Y y TV fIJ
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FORMAT OF RECORD (if available) �; s
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