027
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FOIL Ser. #:
Chris Masterson 0
Christine Fulton 2(0
Sue Rose "-
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#~7
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
Date Received:
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DEPARTMENT:
ASSESSOR '-.~
ACCOUNTING '/97
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER 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:
"2/'2..4 fD
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(init)
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Date Received by Dept
Department Head approval:
Date FOIL fulfilled or denied: ~ / 1---2-- / ~
Closed by:
Date:
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Notes:
Amount Due: _ Pages for a total of $
Name: fI:
Address: 0
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Agency or firm: S ~ )1;-
Telephone#: (1.'15'>291-:- 1~/(;FAX#: ( )--
Email address: "B (1.," W/"jjt)tt'A ff'1 crm"'J/.-~ ~r:;:?i~.
SPECIFIC DESCRIPTION OF RECORD:
o check here if you are
requesting that the records
be mailed to this address.
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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
:)
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