CraigODonnell2009-10-16 JCM
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Jessica Fulton ^
Date Received: 3 / l ~' / 24 ~'f
FOIL Ser. #: ~2/~
DEPARTMENT:
ASSESSOR ^
ACCOUNTING ^
CODE ENFORCEMENT ^
PLANNING ^
ZONING ^
FIRE INSPECTOR ^
HIGHWAY ^
RECENER OF TAXES ^
RECREATION ^
SUPERVISOR
TOWN CLERK ^
WATER/SEWER ^
DOG CONTROL OFFICER ^
TOWN ENGINEER ^
TOWN ATTORNEY ^
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept - / _ /
Department Head approval:
(init)
Date Applicant Contacted: - / _ /
Date FOIL fulfilled or denied: _ / - /
Closed by:
Date: _. / _ /
Notes:
Amount Due: "Pages for a total of $
Name: t/c,E~(~ ~ ~ Q ~r~l~~~--~ ^ check here if you are
Address: ~ r ~-F~~L~r/c' l~-Ltr f~ requesting that the records
i.~/^~~~.6,~;Pr ~i~s, Nl` ~ L1~~ be mailed to this address.
Agency or firm: -77
Telephone #: ( '~S ZZ - f-f~ FAX #: ( ) -
Email address: CJ~~6'C~~~' ~~
SPECIFIC DESCRIPTION OF RECORD: ~- 1N~( ~~~ ~~- °
~ ~ ~,tw1,~",~ ~~~ -~~Auc~ct~ro ~ /i'z~cn~T c~N ~~ o~ 7~`~
~i ~ ~2 k~+~2~ ~ t~
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FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the recor s) descn e above
I request copies of the records described above and agree to ay the cos~c~~s~c~ ~~~grds in
accordance with the fee schedule on the back of this applicat n 4
I request that the records be sent via e-mail to the address lis e~'~~IpJ OF WAPPINGER ,
_ I request that the records be faxed to the number listed above TOW N