138
Received by:
Chris Masterson 0
Christine Fulton \i
Sue Ro~. 0 0
OIIQ::1 / ~
) 30
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
, . . RECEIVED
.
. ,~ JUL 092
~ DID
~OF~~NT
'NGEft
FOR INTERNAL USE ONLY
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT .~
PLANNING .~
ZONING ~
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept :z / .!L / /0
Department Head approval: ~
(init)
Date Applicant Contacted: -1/ /1/ L.!!.
DateF~enied: _1_1_
Closed by:
Date: ~. j LI& 10
Notes: Cl~(
Pages for a total of $
Amount Due:
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
)--
r ~ hA I V\. +~ re s~ i Vl ~k i ') tL --r--BI ~. Pe.r-ww.t:r
FORMAT OF RECORD (if available)
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