162
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FOR INTERNAL USE ONLY
Received by:
Chris MastersDD 0
Christine Fulton 0
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Date Received:
FOlLSer..#:
DEPARTMENT: ~
ASSESSOR:
ACCOUNTING
CODE ENFORCEMENT 0
. PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OFTAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK )1l
WATERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGlNEER 0
TOWN ATIORNEY 0
SPECIFIC DESCRIPTION OF
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p.~
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Dale Received by Dept
Department Head approval:
J..J ~ I JJL
JJ..fYT
(init)
Date Applicant Contacted:
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Date FOIL fulfilled or denied: J I ....3... / 1.1L
Closed by:
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Date: ..$.1 .2./ ..LQ.-
Notes: A..uJ.. ~J. to Qff)/I~
Amount Due: ..iJ- Pages for a total 0($ 0
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requesting that the records
be mailed to this address.
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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 saree to pay the cost of such records in
accordance with the fee schedule on the back of this application
I 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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