City of Glen Cove
9
Glen Street, Glen Cove, NY 11542
(516) 676-3345
F.O.I.L.
PLEASE TYPE
DATE:
NAME:
MAILING ADDRESS:
TELEPHONE NO.:
EMAIL:
REPRESENTING:
I hereby apply to inspect the following record(s): please include address and section, block, lot if applicable
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_______________________________________________________________________
SIGNATURE
All reasonable requests for documents desired shall be acknowledged within five
(5) and respond
within twenty (20) business days. All requests should reasonably describe the specific record sought.
There is a fee of $0.25 cent per page (not to exceed 9 X 14). If the document is larger, the actual cost of
duplicating will be charged.
Any person denied access to records may appeal within thirty days of a denial.
Mail:
City of Glen
Cove
ATTN: City Clerk
9 Glen Street
Glen Cove, NY 11542
Email:
gtumminello@glencoveny.gov
Received: ___________
Ackn: _______________
Due:________________
Sent to:______________
Completed:___________
FOR DEPARTMENTAL USE ONLY