056
FOR INTERNAL USE ONLY
I
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
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Date Received:
Chris Masterson
Christine Fulton
Sue Rose
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Received by;
FOIL Ser. #:
I DEPARTMENT:
ASSESSOR 0
ACCOUNTING ir
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATIORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
o~ 122-1 u,/o
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(init)
Date Applicant Contacted~ 0 ~ 1 1,1-1 20{ c;)
Date FOIL fulfilled or denied: D '3, 1 12. 1 ~
Closed by:
Date:
1
1
Notes:
Amount Due: _ Pages for a total of $
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Email address:
o check here if you are
requesting that the records'
be mailed to this address.
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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
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