2025-387�,3
Click Here To Search Our Public Records Database Before Submitting Request
HJu 1 2 ?02'1';
Forms Can Be Submitted via Email to lmcconotO,�,"Lle aMtownofwappinZerny.gov or
Erobinson((�,townot'wapp,ingerny.y,ov or in person/via mail to 20 Middlebush Rd Wo
PP 9
FOR INTERNAL USE ONLY
Received by: Joseph P. Paolom
Lori McConologue
Grace Robinson
Date Received:
FOIL Ser. 4: ZS
DEPARTMENT:
ASSESSOR
F-1
ACCOUNTING
El/
Date Applicant Contacted:
CODE ENFORCEMENT
[M
P J
—7 —
HIGHWAY
M
RECEIVER OF TAXES
El
RECREATION
El
SUPERVISOR
F-1
TOWN CLERK
❑
WATER/SEWER
❑
DOG CONTROL OFFICER
TOWN ENGINEER
El
TOWN ATTORNEY
El
TOWN OF WAPPINGER
Application for Public Access to Records
REOUEST
Eu(� LS � W IE MIL .---
N 0V fA 4 2 025
6 1 1, ;
1 02 * , I
EPETAIDISM-6-y I
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
Date Applicant Contacted:
Date FOr denied:
Cft
P J
—7 —
Closed by:
Date:
Notes: reu'pl,ed
Amount Due: _ Pages fora total of
Name: 1�2,1 J2
Address-. I how A I IQ 14:21 - 4 4_� I
Agency or firrn: f
Telephone H-. (I -?Lg) FAX 4:
Email address: I/ j C-AkA- (!@ Y46.k_zz�) -
JS
❑check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECQRD:
er
A -
FORMAT OF RECORD (if available) -6, T)5q
IH 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
H 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