085-087
Chris Masterson 0
Christine Fulton 0
Sue Rose ~
Date Received: .' 1 1 I 0 ~.uJ I .
/;JURI 12-;- ~q' d ~<y
::::NT: \J -- SOjby
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT d;I(
PLANNING 0
ZONING 0
FIRE INSPECTOR Y
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER '~
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
f-
;.
'. ..
FOR INTERNAL USE ONLY
Received by:
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
of( VJA~".1.
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FOR DEP ARTMENT USE ONLY
Date Received by Dept
Department Head approval:
11 1 131 ')() J 0
(init)
Date Applicant Contacted: _ 1 _ 1 _
Date FOlL fulfilled or denied: !1 1 /q 1 ;)0 I (J
{) ~t4-
Jj/~1 2f))()
Closed by:
Date:
Notes: oLt ~ :;j +-0 W / S
~.i t.' . _OIrl
Amount Due: _ P es for a total of$ ~
}~ptjJ
)_- FAX#: (
Name:
Address:
Agency or firm:
Telephone #: (
Email address:
o check here if you are
requesting that the records
be mailed to this address.
)--
SPECIFIC DESCRIPTION OF RECORD:
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
... ~
/
.
....
.Mf.UCA nON FOR ACCESS TO RECORQS
To) Records AcceS5 Officer
121l
name of unit
, Ny IZS90
lD) ~ @ ~ ~I
\00 APR 1 2 2010
e Only
((af , t c!. Cf
By_
~
I HEREBY APPLY TO REVIEW THE FOLLOWING RECORD{S):
....R ~ ~"d. s If'>.... ttu q b ('l " ~ ~ r.,...:t~ t-.,., C""'2
....d..e.p ~ yt; C'W1 ~ '111 <:> ~ b.ca.il.hJ f Nt{... f i Y'te -' ~ WQ +t y-
ond ef1 \liYot1rr?Pflt. flllL\ rJ-f'htv ~'1";'c'*oO(l}~ni:a.1 intrJ'c"",4+10Q
U - fev ~ t'bunQ. w~i-'e'i W9US c\o d. c'oll+o.I'I'i ;qafidf'l
12.h.Q. \/0- ( S bA.h ~ lLUI f)
M~ . ~e
. . yu..s.. Assoc.;otes :!t1'. 201 -791 -0075'
. I . .
~~h1g t~lephone.
2{)() R;v"\t"f~~/1-t aw) EIP2~ot'.)~ PI1YA, NT 07l.to1
mailing address zip r;. . t') I . -3 3
~,( dO / I~I - 45
(for agency us~ only)
---J\PPAOVEO
_DENIED (for the reason(s) checked below)
_sxempted by.state/federal stotut~ ----J)ending c:ontroct/bargaining. negotKrtian
~l'lWCIM'cJI'Ited Invasion of privacy ~iste:rcd tradema,.kltradc!Ur~
-.-record(s) part of an I~igatlon _cndangerment to 1I1s or:' safety
-.:.Interagency transmittaVnl7t policy oriented --PtiM of. test questions/aPlSWel"f
_compllter ac;teSS-code(s) . ~cord not malntaiMd by this unit
_record of .which this unit is the legal cU5todian c:Onnot be found/does not exist.
~other (specify)
Signature
Title
PLeASE TAKE NOTICE
. Date
. You have.the right to Appeal CI denial of thl. application to ths RECORt>S APPEALS OFFICER. An appeal must
be mcde wri'HIN 30 dayf from the dote of receipt of the denial and the APPEALS OFFICER must fully
explain the recJson(~) tor such denlalln writing'W!THIN 10 c:lay$ of receipt of an appeal.
Please mailappeols to:
RECORbs APPEALS OFfICER
A~ to rCecrds Is pl'O\l!ded throougft the New York -r=re.dom of Information" l.clw (Public Officer's Law, Sections 8+90).
The law is adminilrtued by tt.e COmmittu on Open 6rovIerntnent in the Dcpar11ncnt of Stare, 162 WCIllhlngtol't A~, Albany,
New YClrk 12231, telephone !S1B-174-2!llB; .