98FOR INTERNAL USE ONLY
Received by:
Date Received:
FOIL Ser. #
Joseph P. Paoloni
Grace Robinson
,K)"_
0 3 -C1
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
210210LIJ3�9 �
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGINEER
TOWN ATTORNEY
2009-10-16 JCM
TOWN OF WAPPING
lApplicatio_n for Public Access, to Records
'C&jed FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval-,
Date Applicant Contacted:
Date FOIL fulfilled or denied:
Closed by:
Date:
Notes:
(init)
Amount Due: _ Pages for a total of $jam
Name: a4t check here if you are
Address: ))N) 10 r-1- requesting that the records
NJ 6 16 0 L't e be mailed to this address.
Agency or firm:
Telephone 11 j) A-Y& FAX
6
Email address.("C E.—_L
SPECIFIC DESCRIPTIQN OF RECORD:
FORMAT OF RECORD (if available)
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 taxed to the number listed above
