2024-112Received by: Joseph R, Paoloni
Lori McCoriologue
Grace Robinson
Date Received:
FOIL Ser. #-:
DEPJ1,,XrMENT-,
ASSESSOR
ACSC OUNTIM3
CODE ENFORCEMENT
HIGHWAY
ED
RECEIVER OF TAJCFS
El
RECREATION
Ej
SUPERVISOR
El
TOWN CLERK
'WATER/SEWER
DOG CONTROL OFFICER
TOWN ENGD'4EER,
ew
"POWN ATTORNEY
Applicatim. for Public Access to Records
F1,0111 JR,
R,ecOved
MEHIMUMM
Date Received by Dept
Department Head approvat:
Date Applicant Contacted:
Date FOIL fulfilled or denied:
Closed by:
IM
Notes:
Amount Due: tlt-a of $ Pages for a o 1�4
Name- check here if you are
Add.ress.- �q the records
re uesting that
------- bemailed to this address,
Agency or firrn-
Telcphonc'h:
Ernail address.- V/112. 5�ry
SPECIFIC DESCRIPTION OF" CORD -
RE
- ----------
FORMAT OF RECO-RD (if available)
I request to be notified when I can come to inspect the record(s) described above
H—J/ I request copies of the records described -above an.dr ", to pay the cost of such records in
accordance with the fee schedule on the back of d 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
5111 e-1- Tcv k T70-1" L tAA / kIvV-k O.4
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MY 0 1 2024