032
FOIL Ser. #:
Chris Masterson 0
Christine Fulton'<rO
Sue Rose
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR ~
ACCOUNTmG 0
CODE ENFORCEMENT 0
PLANNmG 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
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Date Received:
FOR DEPARTMENT USE ONLY
Date Applicant Contacted:
.~ / J., / I 0
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(init)
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Date Received by Dept
Department Head approval:
Date FOlL fulfilled or denied: 0 / ~ / 1lL
Date:
uJlrl'r
2/ .2.. / ilL
Closed by:
Notes:
Amount Due: ~ Pages for a total of $ 0, 5z:>
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC j>ESCRIPTION OF RECORD:
CJ r-L( /vI"'1Itf:)(/k /t'2> wiJffl#(;;'~/t
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record( s) described above
~ 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