176
FOIL Ser. #:
Chris Masterson 0
Christine Fulton .~
Sue Rose L::>
LIlLIE-
J70
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
RECE'VED
AUG 1120\0
BUIL.D\NG DEPARtMENT ..
TOWN Of WAPPINGER
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FOR INTERNAL USE ONLY
Received by:
Date Received:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATIORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept .&:.1 f.L I (1)
Department Head approval:
(init)
Date Applicant Contacted: f I (( II (J t4J.,
Dale FOIL fulfilled or denied: .L-,jL I f12-
Closed by: ~
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Date:
Notes:
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Amount Due:
Pages for a total of $
o check here if you are
requesting that the records
a.s9 D be mailed to this address.
Agency or firm:
Telephone #: (~L(5 ) 5!.8:-- ~ Lt 05 FAX #: (
Email address:
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SPECIFIC DESCRIPTION OF RECORD: Q _ '\
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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
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