2024-383Flick Here To Search Our Public Records Da abasc Before Submitting Request
Forms Can Be Submitted via. Email to Inu i' I9�tu ., o it`ofwa i �ain tern y ,Dov or
grobinson(4),townofwa pingerny.gov or in person/via nail to 20 Middlebush Rd Wappingers Falls, NY 12590,
FOR INTERNAL USE SOWN. Off' WAPPINGER
i ° 0 "')v.� ,I Application for Public Access to Records
Received by: Joseph l'. Paoloni I
Lori McConologue 1
Grace Robinson
Date Received: / f
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
El
ACCOUNTING
CODE ENFORCEMENT
HIGHWAY
F1
RECEIVER OF TAXES
El
RECREATION
SUPER`v"ISOR
TOWN CLERK
El
WATER/SEWER
El
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
❑
ut4�r� o`A l
FOR DEPARTMENT USE ONLY
Date Received by Dept 1
Department Head approval: — —
Date Applicant Contacted: ff
Date FO 1 fullzllcd r denied: t
Closed by:
Date: /J
Notes:�ufmuq
Amount Due. Pages for a total of $
Name:�. l - ?CSG .l }"1 C"� _ ❑ check here if you are
Address: ` (�, £ tta� requesting, that the records
.��� be nzaifled to this, address.
Agency or firm: �,, C+.. t, - f -c3 re- rick.
Telc hone T X
Email address:_—. _.. LI c...
SPECIFIC DESCRIPTION OF RECORD:,_
6
. ...... ... .
FORMAT OF RECORD (if available)`
HIrequest to be notified when. I can cone to inspect the record(s) described above I request copies of the records desc-� ibed 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 c -snail to the address listed above
I request that the records be faxed to the number listed above