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101
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by: Chris Masterson 0
Christine Fulton 0
Sue Rose ~
Date Received: ...1- / ~ / ~
FOIL Ser. #: jf J 0 I
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DEP ARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
o
o
o
o
o
o
o
o
o
V
FOR DEPARTMENT USE ONLY
/ /
Date Received by Dept
Department Head approval:
(init)
Date Applicant Cont~cted:
/ /
Date FOI fulfilled denied:
/
/
Closed by:
.su~
3-/ cJtr ;0
Date:
Notes:
Amount Due:
Pages for a total of $
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
E N ~;:~~ ~ '" Ii \ >--(,' C,
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e>\- -S\t?\l~1F Il~ I~'
FORMAT OF RECORD (if available)
o
:;
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 faxed to the number listed above
o
