107
FOIL Ser. #:
Chris Masterson []
Christine Fulton []
Sue Rose 8r
5- / ~ / l..!:!-
-:i ! OJ
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REOUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR [J FOR DEPARTMENT USE ONLY
ACCOUNTING ~
CODE ENFORCEMENT Date Received by Dept 5/ L/ /0
PLANNING 0 Department Head approval: ~
ZONING 0
FIRE INSPECTOR 0 / /
HIGHWA Y 0 ---
RECEIVER OF TAXES 0 / /
RECREATION 0 ---
5(7//0
SUPERVISOR 0 Closed by:
TOWN CLERK 0 _/ tfrJr-
WATER/SEWER 0 Date:
DOG CONTROL OFFICER 0 Notes:
TOWN ENGINEER 0
TOWN ATTORNEY 0 Amount Due: ages for a total of $ /
Date Received:
Name:
Address:
(. I
Agency or firm:
Telephone #: C3'f)> ~- S77')F AX #: (
Email address:
[] check here if you are
requesting that the records
be mailed to this address.
)-- tj
"
SPECf1C DESCRIfnO~OF RECORD:
f1j 0 . Ilr Vel
FORMAT OF RECORD (if available)
[] I request to be notified when I can come to inspect the record(s) described above
bI 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