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077 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST FOR INTERNAL USE ONLY Chris Masterson 0 Christine Fulton ri SI1fe Rose 0 L/O I 10 ~1 Received by: Date Received: FOIL Ser. #: ~ \NAPp .>...~._.'_".'IA.. "" . . ,',...." , .r;; , : - .,,"~' 0" ""\"~ .~,~., '\>-\ . c;. . !:Zl ~" '. /...,' .. . . A,. , ~~"._,,<~ ' . ~ss cov..... DEPARTMENT: ASSESSOR 0 ACCOUNTING CODE ENFORCEMENT PLANNING ZONING FIRE INSPECTOR HIGHWAY RECEIVER OF TAXES RECREATION 0 SUPERVISOR 0 TOWN CLERK ~ WATER/SEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER 0 TOWN ATTORNEY 0 Name: Address: FOR DEPARTMENT USE ONLY Nmved y Dept 0:11 05 QQLU Department H approval: ~ 2010 (init) IQl~IWiBtlP Contacted: OW }.J")f j)2/U 11ed or denied:Ol/ I rJ511g)jO /M. . Ie J~,",- Closed by: ~ Date: o LlI 0"51 aQlO APR TOWN OF TOW Notes: Amount Due: Pages for a tot o check here if you are requesting that the records . -ZS16 be mailed to this address. )-- SPECIFIC DESCRIPTION OF RECORD: t{ ~ /J J _ (? j, Jv'1utJI-1fJ;( ; JJ ~ r FORMAT OF RECORD (ifavai1able) 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