145
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: QJ.. I I LeI ~I 0
FOIL Ser. #: IL.J5
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DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING ,
ZONING 0
FIRE INSPECTOR 0
HIG~AY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
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:
21W/u
~
(init)
Date Applicant Contacted: ~ ILl; /0
Date FOIL fulfilleqor denieg) ~ II J~ 1 0
Closed by: ' ,," tL( (/.-
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Date: I V ~.P';~' ,
Notes: \...-" "N Nt)
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Amount Due:
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Pages for a total of $
Name: 1'3 ILL R I ft?;2/}-
Address: ~S 'II C 1';( AIJ...(
. (, t:'U 6, J/-I(.rot' III /.( ,N7 (:}bt-? /
Agency or firm: St/{J./flIPI'L lJIl LW'
Telephone #: eNS') .:wi-- L/ tJ33 FAX #: (d't6) vd'S- - J.SrJ}
Email address: klMt? oS L.) A 1/, l.o~
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
B t( J L DI Nt, (j ~ rvr}1llJ~ F=t' (\. /J.o 0 I T'/P/iI.F 1- J: r. ))kJ./Ll. /,1/ /Jj'
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FORMAT OF RECORD (if available)
II 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