098
Received by;
Chris Masterson 0
Christine Fulton ~
Sue Rose tS
1-/cl]/ E
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
FOIL Ser. #; 9 ~
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Date Received:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES ~/
RECREATION 9'
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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(init)
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Date Applicant Contacted:
Date FOIL fulfilled or denied: !L / .2.]/ J.Q.
Closed by:
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-1/2.7/ J.Q
Date:
Notes: .5eN\ t 0, eM Itl l
Amount Due: ~Pages for a total of $ ~
Ad::: ~JGN::;~Sc/~'
Agency or firm: cd 4Pj7 M.J c... &L Iv ()I t:hV 5 .
Telephone#:(ql/q)~. 7775 FAX#: ( )_-
Email address:' 1/741 ,C (J,r( .
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION ~ RECORD: / I /
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FORMAT OF RECORD (if available)
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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
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