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2014-04-02FOR INTERNAL USE ONLY Received by: Christine Fulton ^ Jessica Fulton Date Received: ~i / ~(a FOIL Ser. #: ~~~ DEPARTMENT: ASSESSOR ^ ACCOUNTING ^ CODE ENFORCEMENT ^ PLANNING ~I ZONING ^ FIRE INSPECTOR ^ HIGHWAY ^ RECEIVER OF TAXES ^ RECREATION ^ SUPERVISOR ^ TOWN CLERK ^ WATER/SEWER ^ DOG CONTROL OFFICER ^ TOWN ENGINEER ^ TOWN ATTORNEY ^ 2009-10-16 JCM 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: 6 /~~ / / ~ Notes: ~~p,p~g„ Amount Due: Pages for a total of $ Name: Frederick D. Romi g, Esq. - -- ^ check here if you are Address: 8 Barrister's Row , Suite 1 requesting that the records Wappingers Falls, NY 12590 be mailed to this address. Agency or firm: Ranig Law Office Telephone #: (845) 297 -1000 FAX #; (845) 297 _ 1959 Email address: bets@raniglaw. can SPECIFIC DESCRIPTION OF RECORD: ~7 ia- ..~-o FORMAT OF RECORD (if available) %1 I 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 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