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065 Received by: Chris Masterson 0 Christine Fulton 0 Sue Rose k ~ / cQ3/ LiL #~l~ 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REOUEST RECEIVED MAR 2 3 2010 db PlR! INSPECTOR TOWN OF WAPPINGER FOR INTERNAL USE ONLY Date Received: FOIL Ser. #: DEPARTMENT: ~}.SSESSOR ,~ QQ ACCOUNTING 0 CODE ENFORCEMENT IKJ PLANNING ~ . ZONING IKJ FIRE INSPECTOR ~ illGHWAY 0 RECEIVER OF TAXES 0 RECREA nON 0 SUPERV1S0R 0 TOWN CLERK 0 W}. TER,/SL'.'.'I:R ~ DOG CONTROL OFFICER 0 TOWW ENQD.JEgR -.ZJ TOWN ATTORNEY 0 FOR DEPARTMENT USE ONLY Closed by: E/23d;)JO ~ Date Applicant Contacted: 3j~ 0 dO) 0 enied: .$ jOJ'f j 20/ (J ~~ .3-jd'ij~JO Date Received by Dept Department Head approval: Date: Notes: Amount Due: Pages for a total of $ Name: Robert McCarthy Address: 54 Tuttle Place Middletown, CT 06457 Agency or firm: VHB Telephone #: ( 860) 632- -1500 EmaiJ address: rpmr.r.FJ rt hYlWVh h r.nm o check he"re if you are requesting that the records be mailed to this address. FAX#: (860)~- 7879 SPECIFIC DESC~TION OF RECORD: assessment for the property: We are comp etlng an envlronmental 1324 Route 9 (southeast corner of Old Hopewell Road) and request any historic records related to Site use, ownership, Occupancy. hazardous material storage or handling, and sewer and water system connection details. - (-I<}U - FORMA T OF RECORD (if available) ro/5Z Od.. ~/O S-t.J.ij- ~ I request to be notified when I can come to inspect the record(s) described above 0 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 0 I request that the records be faxed to the number listed above