060
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by;
Chris Masterson 0
Christine Fulton 0
Sue Rose JY
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Date Received:
FOIL Ser. #:
DEPARTMENT: V
ASSESSOR <JI
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIG~AY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN AITORNEY 0
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FOR DEP ARTMENT USE ONLY
Date Received by Dept 23;dl}/ ill
Department Head approval:
(init)
Date Applicant Contacted: .3 El3- / lO
Date FOIL fulfilled or denied: 3 fJ&! JJ..::)
Closed by:
Date:
Notes:
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Pages for a total of $
Name: AMeff.- 'f2A1~
Address: (0 I g~ '~
Agency or firm:
Telephone #: (84~) 20-=;-- (0690 FAX #: (
Email address: €Ai. eAt-J 'z.e@~ /CO~
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o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
&;L 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