034
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose 'w
'2,/11/,(,\ 0
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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:
04( yJAf>>1>>1.
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FOIL Ser. #: 3 +
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 'd'
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 Applicant Contacted:
3/.2-/ JJL
~V-I'r
(init)
/ /
Date Received by Dept
Department Head approval:
Date FOIL fulfilled or denied: -3/ L / W-
Closed by:
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3/~/lL.
Date:
Notes:
Name:.,
Address:
Amount Due: 3- Pages for a total of $ 0.1 c;
,
o check here if you are
requesting that the records
o be mailed to this address.
Agency or firm:
Telephone#: (~) '~.'()_.. l/flt~ FAX#: (
Email address:
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SPECIFICDESr~ct~
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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