147
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
I
FOR INTERNAL USE ONLY
Chris Masterson 0
Christine Fulton ~
Sue Rose /0 0
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Received by;
Date Received:
FOIL Ser. #:
0(( WAPPI.
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DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECENER OF TAXES
RECREATION
SUP
OWN CLERK
W A TERlS
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
Name:
Address:
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FOR DEPARTMENT USE ONLY
Date Received by Dept 01 Id-t, 0
Department Head approval:
init)
Date Applicant Contacted: '-L ~ / ,0
Date FOIL fulfilled or denied: l /d-~ !!1-
Closed by:
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Date:
Notes: \:::0 uo+- hGLve... dolO ml{)ut~.
Amount Due:
Pages for a total of $
o check here if you are
requesting that the records
/nYlJ be mailed to this address.
Agency or firm: S e
Telephone#:( et.J5JJ:[L-7L/IQ FAX#: ( )_-
Email address: 13 elf m EJ/ 417- ~ C; In ~/ 1- ( 00 ht.."
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
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