141
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 ;6
~e RQ..se 0
Date Received: 02 A ~/ 10
1 L/ \
FOIL Ser. #:
o~ VJA!:~I
$..~'~ . ".:.'t".
'o.f, . . >.~'
.... : .p .
o'~' \~'
c:....... . .., /~.'!
'-~... /.4'/
....:6; '. A.. '
7~SS n co~~ .
DEPARTMENT:
ASSESSOR 0
ACCOUNTING Y
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept Z. 1 ~ / /0
Department Head approval: Il~
~
Date Applicant Contacted: 2. / / d / / ()
Date FOIL ~ed} denied: .2 I f,;l, I /0
Closed by: / uff-
Date: 7/ /2--1 /tJ
Notes: .
t/~.
Amount Due: ~ Pages for a to of$
"
Name:",.OUl1~-t tnut1('tJ
Address: f (; J}){;J 'i 2,K L
o check here if you are
requesting that the records
be mailed to this address.
SPEC[FICDEr~~1~ ~.. ~
- ~~ ~ ~ur-'17 '2/ 5Z
( 0/7 (6/0 :1--t
I
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
I