139
Received by:
Chris Masterson 0
Christine Fulton 0
Sue R,~ ,\ 0
071C21/~
) 3q
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
FOIL Ser. #:
RECEIVED
JUL G 9 LOi!
Date Received:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT .~
PLANNING .~
ZONING Y
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN AITORNEY 0
BUILDING DEPARTMENT
TOWN OF WAPPINGER
FOR DEPARTMENT USE ONLY
-2/1-//0
MCt-
(init)
Date Applicant Contacted: 21 1!i./~
Date FO~ denied: I / 1'>/ 10
Closed by: 11 C-
Date Received by Dept
Department Head approval:
Date:
rr
2.. 1 15:1 LfL
Notes:
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 ~ /-vi I V\.+~ r~sfZj i vt f7Dk i) tl +81 ~. Per-fYVI1-: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