100
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Chris Masterson 0
Christine Fulton ~
Sue Rose ()
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Received by:
Date Received:
FOIL Ser. #:
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DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECENER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
W A TERlSEWER
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
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o
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FOR DEP ARTMENT USE ONLY
-4 I dBI /0
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Date Received by Dept
Department Head approval:
(init)
Date Applicant Contacted: -1- / ~~ 61 &--
Date FOIL fulfilled or denied: 4 Idtl J.iL
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Closed by: i~Ps~
Date: .1.{ I ,~BI ~
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Amount Due:
'pages for a total of $
Name: -;7lt-ltZ tr)r?E a.};I-
Address: t/ /:"J 0 /3 -,
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Email address:
o check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
o r~equest 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