Return this form in person to: Office of Village Clerk - 2582 South Avenue, Wappingers Falls, NY 12590
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VILLAGE OF WAPPINGERS FALLS
Office of Building, Planning & Zoning
Office of Code Enforcement / Office of the Fire Inspector
2582 South Avenue, Wappingers Falls, NY 12590
Phone: (845)297-5277 fax: (845)296-0379
E-Mail: hmccormick@wappingersfallsny.gov
www.wappingersfallsny.gov
APPLICATION FOR ACCESS TO RECORDS
TO: RECORDS ACCESS OFFICER (Official Use Only)
_____________________________________________________
Name of unit
______________________________________________________
Address
I HEREBY APPLY TO REVIEW THE FOLLOWING RECORD(S):
Property Address: ____________________________________________________________ Zoning District: _____________
REASON FOR INSPECTION: (BE SPECIFIC) PENDING LITIGATION? YES □ NO □
_________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________
__________________________________________ _____________________________________
Name (Please Print) Representing (Business Name/ Self)
__________________________________________ _____________________________________
Signature (Original Signature Required) Telephone
__________________________________________ _____________________________________
Relationship to Property E-mail
_________________________________________________________________________________________________
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 WHITHIN 30 days
from the receipt of the denial and the APPEALS OFFICER must fully explain the reason(s) for such denial in writing WITHIN 10 days of receipt
of an appeal.
Please mail appeals to: RECORDS APPEAL OFFICER
Access to records is provided through the New York “Freedom of Information” Law (Public Officer’s Law, Section 84-90). The law is
administered by the committee on Open Government in the Department of State, 162 Washington Avenue, Albany, New York 12231, telephone
518-174-2518.
*One form must be submitted for each specific address or building location!
General descriptions of an area or groups of addresses will not be researched by this office. The reason for the request for
access and the specific type of information you are interested in reviewing must be indicated on the application.
* All submissions must be complete and must have an original signature on them.
Photocopies, faxed and emailed forms & telephone requests are not accepted!
When the request has been processed the application will be returned to you. If your request has been approved, you may then
call to schedule an appointment to come to our office to review the record(s).
Photocopies of records will not be prepared and sent to you!
If you need further information or have any questions, please contact the Village Clerk’s office at 845-297-8773 or by E- mail
hmccormick@wappingersfallsny.gov
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