159
FROM :SAMY
FAX NO. :2274291
Jul. 29 2010 12:52PM P1
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REOUEST
FOR INTERNAL USE ONLY
Chris Masterson 0
Christine Fulton ~
Sue Rose 0
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Received by:
Date Received:
FOIL Ser. #:
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DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
mGHWAY
RECEIVER OF TAXES
RECREATION
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W A TERlSEWER
DOG CONTROL OfFICER ~/
TOWN ENGINEER ~
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONt y
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. Date Applicant Contacted:
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Date FOIL fulfilled or denied: / -/
Closed by:
Date:
Name:
Address:
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requesting that the records
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Agency or rum: ~
. Telephone #: (\?4b) ~S-
Email address: V U
FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
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
1 request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above
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