014
Date Received:
Chris Masterson 0
Christine Fulton 0'
Sue Rose 0
o d. 1 OJ / a.J2.iO
1'-1
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
J)EP ARTMENT:
ASSESSOR
ACCOUNTING
DE ENFORCEMENT
ANNING
ZONING
FIRE INSPECTOR
HIGHW A Y [l
RECEIVER OF TAXES [l
RECREATION [l
SUPERVISOR [l
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER ~
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOIL Ser. #:
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
e-e
Date Applicant Contacted: _I _I _
Date F~enied: _1_1_
Closed by: 01
Date: Z-ILeJ 1 ,/cJ
Notes:
Amount Due:
Pages for a total of$
III 011 , €SPtE & ASSOC'~ }4heck here if you are
cOOSUi TING ENGINEERING p~ requesting that the records
R47 Route 376 be mailed to this address.
Agency or firm:::a1,_ ._~appingP.rR F~lls, NY 12590 ~ . 1_ ,
Telephone#:(~.~" -~ FAX#: ~<4t;1~-~
Eroail address: j ·
Name:
Address:
SPECIFIC DESCRIPTION OF RECORD:
Any informiiltion rQlated to outstanding violationc, buildifl.C3-
permits, tickets for vjo]ation~, jn~pR~tion rRport~,
buildinqpermit applications, etc...
Specific to pareR] lO~!'ItRr'l !'It :P.Oflfl 'Rnntp qp, W('lppingE>T F('l'1S, NY
12590. Owned by Martin and Nancy Brundage. Tax #6057-04-847098
FORMAT OF RECORD (if available)
o
I 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
o
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