047
Received by;
Chris Masterson 0
Christine Fulton 0
Sue Rose ~
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:# L/7
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
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FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER [(
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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M(;.JA.
(init)
Date Applicant Contacted: .;I / II / l.!!.-
Date FO@enied: <J- / II / I (j
Closed by: I( q ~
Date: d. / II / L2-
Notes:
Amount Due:.2-- Pages for a total ofS I. 7S-
Name:
Address:
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NY \2.5''10
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC I;l~~IPTION OF RECORD: )
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FORMAT OF RECORD (if available)
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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 of this application
I 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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