114
Date Received:
Chris Masterson 0
Christine Fulton 1:1J
Sue Ros~ 0
21 lJI 10
II LJ
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR JEJ.
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOIL Ser. #:
FOR DEPARTMENT USE ONLY
Date Received by Dept S~&( 0
Department Head approval: _
(init)
Date Applicant Contacted:
I I
Closed by:
I I
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~
5171dJ/ ()
Date FOIL fulfilled or denied:
Date:
Notes:
ages for a total of $
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
()
Agency or firm: S.:) See
Telephone #: (01~).:22:..!-. C! f 3;)-
Email address: r \;' E A/ / ~
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
o 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
o I request that the records be sent via e.mail to the address listed above
o I request that the records be faxed to the number listed above