097
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONL Y
Chris Masterson 0
Christine Fulton 0
~ve Rose ~
l 1dJa. I J.JL
Received by:
Date Received:
FOIL Ser. #:
'1f97
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
W A TERlSEWER LJ
DOG CONTROL OFFICER U
TOWN ENGINEER U
TOWN ATTORNEY U
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
~/'2-71 JQ
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(init)
Date Applicant Contacted:
~/Zl/~
Date FOIL fulfilled or denied: .s- I -=L I ~
Closed by:
j'(A'V"\
5/ ~;( ()
Date:
Notes:
Amount Due:..t.@epages for a total of $ ()~ ~ u
Name:
Address:
J-'lmi.. N-'lrrlnn..
') Wildwood Dr.
Wappinger Falls, Ny 12590
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: ( 845) ~-4734
Email address:..
FAX #: ( ) -
. u. _
SPECIFIC DESCRIPTION OF RECORD:
All E>1Il.<:li1Q Tn -'Inri frnm ~-'l1 Mnrplln. Rllili1ing Tn!';pP-C'tor from .Tanllary 1, 2010
thrll today, April 26. 2010. L( goMD (l'\e~~
Please call me when they are ready, Thank you.
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
ex 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
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