019
Received by;
Chris Masterson 0
Christine Fulton 0
Sue Rose W
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2009-10-16 JCM
TOWN OF WAPPINGER
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FOR INTERNAL USE ONLY
Date Received:
FOIL Ser. #:
DEPARTMENT:
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ACCOUNTING 0 /
CODE ENFORCEMENT ~
PLANNING 0
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FIRE INSPECTOR 0
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RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
~ 1..31/0
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Date Applicant Contacted: ~ 1.3 I / 0
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Date FO(ful~~enied:;;A. 1 3 II 0
Closed by: ..- 1- 'XI~
Date: LI .3 1(0
Notes:
Pages for a total of $
Amount Due:
Name: Ao.ro V" V;j"'Oj~"
Address: "1. -"!> \'<e/\-\- ~~.
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Agency or firm:
Telephone #: (g-~5 ) 6> G - ~ FAX #: O'sl.lS ) \.\"\ 0 - ., '\ 00\
Email address: Ii R \J '2. 0 CC2.. 0\ 0\ . <. C") 1"""\
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I request to be notified when I can come to inspect the record(s) described above
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accordance with the fee schedule on the back of this application
I request that the records be sent via e-mail to the address listed above
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