131
Date Received:
Chris Masterson 0
Christine Fulton ~
~ue ~~eJ 0
~~J/i)
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
FOIL Ser. #: ( .3 /
DEPARTMENT:
ASSESSOR 0
ACCOUNTING ~
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK V
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
/ /
Date Applicant Contacted:
(init)
/ /
---
Date FOIL fulfilled or denied:
/
/
Closed by: C?
Date: ffl-ci1!::/IIO
Notes: ......-::::::
~ ~.
Amount ~ _ Pages for a total of$ ./
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DES. G~IPTION <)F RECORD: r A-1})~
Ct.1Zfb V ~ ~ ~
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
o 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
o I request that the records be sent via e-mail to the address listed above
o I request that the records be faxed to the number listed above