2024-370C limcl,, here To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Email to Imcconolo trrtowtiof�,valal)in erny.gov or in person/via mail to 20
Middlebush Rd Wappingers Falls, NY 12590
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni.
Lori McConologue
Date Received: / /
FML Ser. #: cj CD
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
S [JPERVISOR
TOWN CLERK
WATERJSEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL
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7
Bu88ding Dej)arir ent
rown of UVV,,PP!rlger
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department head approval:
Date Applicant Contacted:
Date FOIL ilfilled r denied: / 1
Closed by:
Date: 1"xe
Dotes: 1 '�
Amount Due: Pages for a total of
Name: check here if you are
Address: J requesting that the records
be mailed to this address.
Agency or film:
Telephone #: ( ) - FAX #: ) -
Email address:
SPECIFIC DESCRIPTION OF RECORD:
4'
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 email to the address listed above
I request that the records be faxed to the number listed above
VILLAGE OF WAPPINGERS FALLS
Office of the Village Cleric
Heather McCormick
2582 South Avenue, Wappingers Palls, NY 12590
Phone: (845) 297-8773 Fax (845) 298-2645
Email: foilre nests c,wappiaigersfallsny.gov
�vww.wappingersfhlls� og_v
.APPLICATION FOR ACCESS TO RECORDS
I HEREBY APPLY TO REVIEW THE FOLLOWING RECORD(S):
. F ire c1tai`c4L CgieS woWA e 6L -,-t fngi12
Name (Please Print) Representing (Business Name/Sel#)
Signature (Original Signature Required) Telephone
Date E-mail
a 12,,al X601
Mailing Address Zip
PLEASE TAKE NOTICE
You have the right to appeal a denial of this application to the Records Appeals Officer. An appeal
must be made within 30 days from the receipt of the denial and the Appeals Officer must fully
explain the reason(s) for such denial in writing withip-10 days of receipt -of an appeal.
Access to records is provided through the New York "Freed.orn of Information" Lava (Public
Officer's law, Section 84-94), The law is administered by the NYS Committee on Open Gov: ernment
(99 Washington Avenue, Suite 650, Albany, New York 1223 1) Telephone: 518-474-2518
'Please mail appeals to: Records Appeal Officer (2582 South Avenue, Wappingers Falls NY 1.25.9.0) .