153
Date Received:
Chris Masterson 0
Christine Fulton ~
Sue Rose 0
(D10L/d21o
--153
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
FOIL Ser. #:
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ASSESSOR
ACCOUNTING
CODE ENFORCEMENT )
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIG~AY 0
RECENER 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 Depl -21J!i5.fl2. .
Department Head approval: ~
Date Applicant Contacted: ~
Dale FOIL fulfilled or denied: (;;;:) _
Closed by:
Date: . I -:t- all ~ !()
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Name:
Address:
Amount Due:
Pages for a total of $
Agency or firm:
Telephone #: (
Email address:
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requesting that the records
be mailed to this address.
FAX #: (
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SPECIFIC DESCRIPTION OF RECORD: /2/ s-7 ~ --rt71dJ 3
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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