078
Date Received:
Chris Masterson 0
Christine Fulton~o
sr Rose
L 1~)12-
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
FOIL Ser. #:
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DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING jj
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept i 1 {, 1 10
Department Head approval: .1i!iL
-(irtit)
Date Applicant Contacted: .i 1 ~ 1 / 0
DateFO€~denied: 1..1 l-I (0
Closed by: ;.j rr
Date: ~/~I /0
Notes:
Amount Due: d- Pages for a total of sf. ,50
Name:
Address:
o check here if you are
requesting that the records
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FORMAT OF RECORD (if available) 1
'g. 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