049
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Masterson 0
Christine Fulton 0
Sue Rose 0
Date Received: 1 1
FOIL Ser. #:
1f~ 9
o~ ~~,~Pl.
...~~.. '.' >.>~'"
.... A . . "'~,
,'0': "". "":~\
!~i~' . . .\)~\
,c' . "zl
~ /,..1
C' '. " ~'
.,~.... .,"...-.."'-'*'. ;
~ss cO'"
---
DEPARTMENT:
ASSESSOR <
ACCOUNTING 0
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:
3-1 JkJI 1JL
~i. JYI.-Jr
(init)
Date Applicant Contacted:
1 1
Date FOIL fulfilled or denied:
1
1
Closed by:
Date:
3.1 ({.Il 1 1!L.
Notes:
Amount Due: A- Pages for a total of $ I.~ 0 0
Name: W~t0nEc-,," ~
Address: .., 7 IJ 'It.l..-!. 0 tJ ,+v It .
1Nf.f-(>fJ'1ZA.l~ ~II-t-l-~ tiJ'-! 1l-6~O
,
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: (<g4'~"") /p '3;l- - :3"1 ?( FAX #: ( ) --
Email address: VJ-OlctL it / ~ ll/ uA t1i) (~ h,k.., '" . c-- o~
SPECIFIC DESCRIPTION OF RECORD:
.-p~oP fi..a.--f'y C PrfL 0 ro (2.
q C- i-;4-/J p In/ €"
()J (J..P(J''Uf/v1[jLS r~L 5. ftJ7 I '2-!:;;-10
.
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