2024-270Click Ilere To Search Our Public Records Database Before Submitting Request
Forms Can Be Submitted via Entail to lmcconolo ueLMtownofwappingerny.gov or
robixjson towEof�l;erny. av or in Person/via mail to 20 Middlebush Rd Wappingers Falls, NY 1.2590
FOR INTERNAL USE ONLY
Received by: Joseph. P. Paoloni i 1
Lori McConologue
Grace Robinson. Cl
Date Received: / /
FOIL Ser. ##:
DEPARTMENT:
ASSESSOR
ACCOUNTING
❑
CODE ENFORCEMENT
HIGHWAY
❑
RECEIVER OF TAXES
RECREATION
Ej
SUPERVISOR
❑
TOWN CLERK.
CD
WATER^"SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
❑
TOWN ATTORNEY
TOWN OF WAPPMGER.
Application for Public A Records
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FOR DEPARTMENT USE ONLY
Date Received by Dept S / 3c",
Department Head approval:
(init
Date Applicant Contacted: /3f /
Date FOIL fulfilled or denied: 1. /1
Closed by:
Date:
Notes: "r'ZV1 &'
Amount Due: Pages for a total of $
Name: W Ocheck here if you are
Address: A7 requesting that the records
w be mailed to this address.
Agency or firm: ".
Telcph (er-pif �i 2 FAX ##:
Email address.,%,'►`
SPECIFIC DESCRIPTION OF RECORD: I
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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 e-mail to the address listed above
I request that the records be faxed to the number listed above