015
FOIL Ser. #:
Chris Masterson ~/
Christine Fulton ~
Sue Rose 0
D'd. 1 DZIat2LO
)0)
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REOUEST
FOR INTERNAL USE ONLY
Received by:
Date Received:
I>EP ARTMENT:
ASSESSOR 0
ACCOUNTING [J
CODE ENFORCEMENT
LANNING
ZONING
FIRE INSPECTOR
illGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER lit
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
,,2 I;;:t-I /0
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Date Received by Dept
Department Head approval:
Date Applicant Contacted:
(in it)
.?- 1 :J-I / 0 6u
___ -I
Date FOIL fulfilled or denied: -;1-/ :?--I) ()
Date:
/#IL--
/'~//-I IV
Closed by:
Notes:
~
Pages for a total of$
Amount Due:
"
PI au , ESPlE & ASSOClP' ~heck here if you are
cONSUl rING ENGINEERING Pl...1.C requesting that the records
R47 Route 376 be mailed to this address.
Agency or flrm:=L ,-_~B!lllin!!." ~al\S. NY 12590 ...... . 1_
Telephone#;~~'? -~...7 FAX#: ~~t;1~-~
Email address: i ·
Name:
Address:
SPECIFIC DESCRIPTION OF RECORD:
Any informQt2on r81ated to outstanding violationc, buildi~----
permits, tickets for v1o]a~1on~, in~pA~t~nn rApnrt~.
buildinq permit applications, etc...
Specific to pt=trcA] lncrltAn i'lt 'OaR 'Rnntp em, WrlppinlJPT ll'Qll.." NY
12590. Owned by Martin and Nancy Brundage. Tax #6057-04-847098
FORMAT OF RECORD (if available)
o
o
I request to be notified when 1 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
J request that the records be sent via e-mail to the address listed above
1 request that the records be faxed to the number listed above
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