083-084
Received by:
Chris Masterson 0
Christine Fulton ~
Sue Rose a
~I Jd/.La..-
g- ~ <i8~
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
t
FOR INTERNAL USE ONLY
Date Received:
~ \/tIA~"
~~. .__~'I.:A.
...~..../.1Ji . '.. : ~.:;r.'.i.\
'01' ". .\~'.
It- . ~-#' ,
1~1\.~J~.)
.c::.'dW!~~' lit
.'.#A . ;....1
. (I . .... r"" '
~is5 "co~~ /
FOIL Ser. #:
DEPARTMENT:
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
~
FOR DEPARTMENT USE ONLY
I
I
Date Applicant Contacted:
!L/~/~O
..t:12r:-
(init)
y:..- I !l.. I ~
. Date Received by Dept
Department Head approval:
Date FOIL fulfilled or denied: I I
Closed by:
fA-
Date:
Lf IlLI 21/6
Notes:
Amount Due: _ Pages for a total of $
Name:
Address:
, e...
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone#: (8'-I61--2:f}7 -'7LJ/{JFAXiJ.: ( )--
Email address:8QJ9-mEIl.!{}r-)4@f.kmlflj- ( C () H'L
Op7J!/ J5;f2PA-/
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
o 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