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054
FOR INTERNAL "USE ONLY'
,.
2009-10-16 JCM
TOWN ,OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
I
Received by: Chris Masterson 0
.Christine Fulton. 0
Sue~o8e ')!jr
Date ,Received: .3 .I rLl/ L
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FOI~ Ser. il;, '" .. ,.,11, -2Y
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DEPARTMENT:
ASSESSOR" . . D'.
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ACCOUNTING.". .,,;. {j,,,,.
~ODEENFORCEME. 'NT.'.... "'7
PLANNING " ", .' . Cd' .
ZONING " " ,., . 0'
FIRE'INSPECTOR . 'i . '0 "
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HIGH\VAY.. ., 0
RECEIVER OF'TAXES 0
RE6REATION.""~":~,~:'", ...0. .. .
SUPEivIS'6R-," .".........:0.."....
TOWN CLERK 01
WATERlSEWE1C....CO'. .,' "'"':Gr::'''
DOG CONTROL OFFICER .0
TOWN ENGINEER 0
TOWN ATIORNEY.. "'0"
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
~I 111/0
~
(init)
Date Applicant Contacted: 3 / d / /6
Date F~enied: _1_1_
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. ..:il Zb I/O
Closed by:
Date:
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Notes:
Amount Due:
.. " :ll:";('-
..>h.'; .',.1,. ",Name:
'-. . _ ,Address:
n check here if you are
requesting that the records
be mailed to this address.
..-' :~',.C ~,;\~.F.A-"~;' J ~~'I :....' .
. ...,.. .~A'gen"y Of'finn'
'li,>.r-~l':~~l~.,' -J ,"'..~_ ,: ~.,' - ""t., ,-,
. ,:,,:'.' )'elephone #: (~ )
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SPECIFIC DESClUP'LION OF RECORD: . .
t;J~E~~?!)ff;$u~~r~~~VJ~
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'F9~T.QEt.,~G()RD (ifavm,hlble).
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o " lrequest to be notifiCd'when I can come to inspect therecord(s) described above
f(j I requestmpics ofth~'rccords described above and agree,topaythecostofsuch records in
accordance with the fee schedule on the back of this application .. .
o I request that the !ee<,rds be sent via o-mail to the address listed above
o I request.that the records be faxed to the number listed above
.". ", .
. .
- - - - _.- - --
MAR 17' 2010'15: ~--~_. ~--
(845)298-1478
PAGE. 01
