026
\\lJ~ ~J
~ 7'\ ~\Y
:J.(\~ l l
C1 FOR INTERNAL USE ONLY
I
I
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
-1,0 l, 2--
((J() q1&1
:l( yJAP,.
~. ~...~..,;j'4I.
'~l .' :~':~',
i~" yep
I . t
'" .'~
'O.~
,~.\liiIIiIF' . . / z:/
C'~;.,' rA.,.':
~~S5"CO~~ /
Received by:
Chris Masterson g....
Christine Fulton 'Id
Sue Rose 0
00. //c:r /~0
c-9lO
Date Received:
FOIL Ser. #:
DEPARTMENT: ~
.-AS3I!gSQK
ACCOUNTING ~
CODE ENFORCEMENT
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 DEP ARTMENT USE ONLY
Date Applicant Contacted:
3 /;J... / /0
-~
(init)
J /2./LQ.
Date Received by Dept
Department Head approval:
Date FOIL fulfilled or denied: :L / 2. / LQ.
;/ c:;J/Jc
Closed by:
Date:
.3..1cX1/O
Notes:
Amount Due: _ Pages for a total of $
Name:
Address:
..
Agency or firm: I
Telephone#: 14) 410- cfi'~ -
Email address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC D,ES~ OF RJlfORD:
j .. lUG
(~~ ~V~
FORMAT OF RECORD (if available)
I
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