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062 I 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REOUEST FOR INTERNAL USE ONLY Received by: Chris Masterson 0 Christine Fulton 0 Sue Rose '~ 1L/8~/ & () Date Received: FOIL Ser. #: to () DEPARTMENT: ASSESSOR ~ ACCOUNTING 0 CODE ENFORCEMENT RQ PLANNING :f9 ZONmNG RQ FIRE INSPECTOR ~ illGHWAY 0 RECEIVER OF TAXES 0 RECREATION 0 SUPERVISOR 0 TOWN CLERK 0 WATER/SEWER m DOG CONTROL OFFICER 0 TOWN ENGINEER RQ TOWN ATTORNEY 0 FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval: / / (init) Date FOIL Closed by: Date: Notes: Amount Due: Pages for a total of $ Name: Robert McCarthy Address: 54 Tuttle Place Middletown. CT 06457 Agency or finn: VHB Telephone#: ( 860)632- -1500 Email address: rpmr.r.;:n--thv@lvnh r.nm o check here if you are requesting that the records be mailed to this address. FAX #: ( 860) ~- 7879 SPECIFIC DESCRIPTION OF RECOED: We are comp~et1ng an env1ronmental assessment for the property: 1324 Route 9 (southeast corner of Old Hopewell Road) and request any historic records related to Site use, ownership, Occ~ancy. hazardous material storage or handling. and sewer and water svstem connection details. FORMAT OF RECORD (if available) ~ 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 ~ 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