061
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose ~
~/~/L9-
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
FOIL Ser. #: lo I
Date Received:
DEPARTMENT:
ASSESSOR ~
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING !9
ZONING ~
FIRE INSPECTOR m
IDGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATEWSEWER ~
DOG CONTROL OFFICER 0
TOWN ENGINEER ~
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
b /~ 3/.LtL
..JUU
(init)
Date Applicant Contacted:
/ /
Date FOIL fulfilled or denied: :3 1 ~I J..1L.
Closed by:
1JoA
.-21 ~/.ilL
Date:
Notes:
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,
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
Email address: rpmr.r.r:lrt:hy(Ci)vnh r.nm
o check here if you are
requesting that the records
be mailed to this address.
FAX#: (860) 632- 7879
SPECIFIC DESCRIPTION OF RECOED:
We are comp~et~ng an envlronmental assessment for the property:
1324 Route 9 (southeast corner of Old Hopewell Road)
and request any historic records related to Site use, ownership,
Occu~ancy. hazardous material storage or handling. and sewer and
water system connection details.
I
FORMAT OF RECORD (if available)
IZl 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
