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Date Received:
Chris Masterson 0
Christine Fulton~
Sue Rose ~
L/li-/UL
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOA 0
ACCOUNfINO 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING ~
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN A TIORNEY 0
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FOIL Ser. #:
~OR DEP ARlMENT USE ONLY
Date Received by Dept
Department Head approval:
(O/(>//U
-tA-f ~
(init)
Date Applicant Contacted: _I _I _
--:s.,
Date FOI~or denied: (c.) I ( ?7 / ( 0
Closed by: H /;-
Date:
Lf).J 131 /0
Notes:
Pages for a total of $
Amount Due:
Name:~ 'Cs~
Address: q ~ ~~t'::>~o.oQ .
Agency or firm: L~(J.) ~~c...e.s a ~ ~~ ~. ~
Telephone#: (~4~~- <D~~ FAX#: (~4s) '21..9 - Cns~
Email address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECOllD:
Any correspondence, notes, memoranda, documents and materials submitted by
or concerning the Foundation for the Chapel of Sacred Mirrors and/or Alex Grey.
...... ".
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 Ibove md agree to pay the cost of such records in
accordance with the fee schedule on the badt of this application
o 1 request that the records be sent via e-mail to the addrcaa listed above
o I request that the m;ords be faxed to the number listed above