2024-298Click Ileac To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via. Email to Imcconolyouck-,vtowriofwa in Tcrn .t ov or
°obirrson ctownokVap ink erny.gov or in person/via mail to 20 Middlebush Rd "Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph. R Paoloni
Lori McConologue
Grace Robinson r
Date Received:
FOIL Scr. ##:!-1.-.SIV
DEPARTMENT:
ASSESSOR
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
❑
IiECEfVER OF TAXES
❑
RECREATION
SUPERVISOR
❑]
TOWN CLERK
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WATER/SEWER
❑
DOG CONTROL OFFICER ❑
TOWN ENGINEER
❑
TOWN ATTORNEY
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Application for Public Access to Records
ed FOIL REO UE S'T
ReceN
FOR DEPARTMENT USE ONLY
Date Received by Dept / _ /
Department }--lead approval:
Dae Applicant Contacted: W / -7 /
Date FOIL fulfilled or denied: t //y
Closed by:
Date:
(a //
Notes: r
Amount Due: Pages for a total of a
Name:
[ check here if you are
Address: �� '�c=. ,�
' a c� requesting that the records
lei .-Z r-, �r �(Y \� ) c( C) be mailed to this address.
Agency or firm: S
Telephone #: (9' y)j FAX ##: ( ) -
Email address:
SPECIFIC DESCRIPTION OF RECORD:
FORMAT OF RECORD (if available)
Irequest 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