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2009-10-] 6 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REOUEST
FOR INTERNAL USE ONLY
Received by: Chris Masterson 0 /
Christine Fulton g/
Sue Rose 0
Date Received: o.a. I ~ IOQLD
FOIL Ser. #:
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I>EP ARTMENT:
ASSESSOR 0 FOR DEPARTMENT USE ONLY
ACCOUNTING 0
CODE ENFORCEMENT i Date Received by Dept LI /2 I IV
-
PLANNING Department Head approval:
ZONING (in it)
FIRE INSPECTOR Date Applicant Contacted: 1-13-1 LE-
HlGHW A Y 0
RECEIVER OF TAXES 0 Date FOIL fulfilled or denied: I I
RECREATION 0 - - -
f). (- 0 tfWN
SUPERVISOR 0 Closed by:
TOWN CLERK 0 3 I il-l 10
W ATER/ 0 Date:
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OG CONTROL OFFICER Notes: 6-hllf! ILjC~~ ,lfJ"Iv"ItE-
OWN ENGINEER ~vP-L '/It (NO Le,*r J
TOWN ATTORNEY 0 Amount Due: Pages fora total of.$ ..,
Name: M. G1U,ESPl~ &. ASSOCU\ y4:heck h~l'eif you are
Address: CONsm TING ENGINEERING p~ requestmg that the records
R47 Route 376 be mailed to this address.
AgenC).' or flfIll: =-1_ , _WaIlP,!,!,_ ~al\S NY 12590 r...-:;;. . 1_
Telephone#: (fIfr1'I4~" -~7 FAX #:~~~~-~
Email address: " ,
SPECIFIC DESCRIPTION OF RECORD:
~ny informiil.ti.on I"illlat8d to outstanding violationc, buildiGt3-
permits, tickets for vin]~+inn~r in~pA~t~nn rApnrt~,
buildinq permit applications, etc...
Specific tn pi'lrcp] ln~rltpr':l rlt 'ORR 'Rnlltp qfl, W::lI"rjnl)E>r 'Pelle::, l>lY
12590. Owned by Martin and Nancy Brundage. Tax #6057-04-847098
FORMAT OF RECORD (if available)
o
o
1 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 ofthis application
] request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above
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