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Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose EV'
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received.:
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FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING ~
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 AITORNEY 0
FOR DEPARTMENT USE ONLY
Date Applicant Contacted:
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Date Received by Dept
Department Head approval:
Date FOIL fulfilled or denied: -L / ~ / ~
Closed by:
Date:
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Notes:
Pages for a total of $
Amount Due:
Name:
Address: I
o check here if you are
requesting that the records
be mailed to this address.
)--
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
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