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FOIL Sel". #:
Chl'is Masterson 0
Christine Fulton 0
Sue Rose '~
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2009-10- J 6 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING ~
ZONlNO 0
FIRE INSPECTOR 0
illGHWAY G
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWNA'ITORNEY 0
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Date Received:
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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(init)
Dale Applicant Contacted;
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Date FOIL fulfilled or denied: I I
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Closed by:
Date:
Notes:
Amount Due:
Pages for a total of$
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
o I '"equest to be notified when I can come to inspect the record(s) described above
o I request copies of the records described above and ag'"ee 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 n~l1nber listed above