040
Received by:
Chris Masterson 0
Christine Fulton 0
Sue R9S.e ftf
S l':Ll.!2-
--t.fD
2009-] 0-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
o~ ~~Pl.
.$'~' .~.~~,
.'0.11 . ,-".'.~..
1..-... ~-,...
. I .' \. .'
'O"~r.~'
,C::- .' /zl
,;,I.': /.>...1
..: . .. 4. I
~~s5"co~~ ..
Y/
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING ..
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 -3-1 L 1 /0
Department Head approval: _
(init)
Date Applicant Contacted:
1 1
o check here if you are
requesting that the records
be mailed to this address.
)--
FORMAT OF RECORD (if available)
,,5, 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
..a 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
- 12 ~ /() ~j/j
3-1(0- l.i> '1J-L