132
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Masterson 0
Christine Fulton {;/
Sue Rose 0
Date Received: Li2.- 622 I lf2-
FOIL Ser. #: / 3:2
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIG~AY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
L/lll/U
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(init)
Date Applicant Contacted: f.e.- I?' r::; I LE-
Date FOIL fulfilled or denied: f...- Ic% Iff)
Date:
NO;
1LIZ~IIO
Closed by:
Notes:
Amount Due: ~ Pages for a total of$ ;2
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Name: -1 fc-,~ -fJ I J,,1 LJv. s--t.rlj-
Address: 1 I,] hH""" /J"., \/---
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm: Lr I 's/-,t-,w( {oJ t'VJ (. ,
Telephone #: ( ) ~- } )U FAX #: ( -)--=:::--
Email address:
SPECIFIC DESCRIPTION OF RECORD:
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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 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