043
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose .~
3-1 JQ I ./..1L
.:t( i 3
2009-] 0-] 6 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
o~ WAPI>>
.S~.~. ,. ':'~~"'~,
. .or ,Ii ....;, "" .
,,0: ' ,":""..
I~" ~-,...
I .' \
"O"~'}~'
.c:.. .' I~I
;.. /. I
. co '. '.' r4" ;
,~('. ' "......- .<~ /
55 CO'"
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTmG 0
CODE ENFORCEMENT l)1
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 ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept --1-1 /6 I ~
Department Head approval: il(tJ;
(init)
Date Applicant Contacted: II /0 I L..Q
Date FOIL fulfilled or denied: 2- II () I ./ 0
Closed by: f/ cxi~
Date:
3 110 I /6
Notes:
Amount Due:
Pages for a total of $
Name: '";SC::>SEf ~l Co R vV E- CC
Address:)' e, e. ' C/J-l W 00 l~ Q. -r:;{? C L. IE..
lIVYhPf.. r-(+t..Ls J ~:.(, I ?..,,-q 0
Agency or firm: '
Telephone #: (~''t ) 'if) - S~JG3 FAX #: ( ) _-
Email address: o-A Y /.f f1J D 10 e 11-0 c:.. , (0 ~
.
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTl~F RECORD:
\:l L.AV\J \--0 (j2.. thy, S
FORMAT OF RECORD (if available)
if 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