No preview available
186 Aur; 19 10 12:46p Micke~ A. Steiman 845-229-6338 p.6 .,\U'J/iIlI.UIU/1Ur, UJ.IJ nlll ."nl\ I'V, ut..J I, UUI. .. FOIL Ser. #: Chris Masterson 0 Christine Fulton~/ Sue Rose l) L/.J.3)LL ~~ 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST LOR INTERNAL USE om. Y Received by: ~ 'IIAPp/ o ,'-., '" l~~ 1-, _ '~ 1:> ~:~ s~. ..... ,,~. ..... ~t:' .' \J~ 5S cO Date Recei~ed: DEPARTMENT: ASSESSOR 0 ACCOUNTING 0 CODE ENFORCEMENT 0 pLANNING 0 ZONING 0 FIRE INSPECTOR 0 HIGHWAY 0 RECEIVER OF T AXES ~ RECREATION 0 SUPERVISOR 0 TOWN CLERK 0 W A TERlSEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER 0 TOWN ATIORNEY 0 f.OR DEPARTMENT USE ONt Y Date Received by Dept Department Head approval: I - (Wit) Date Applicant Contacted: , Date FOIL fulfilled or denied: _, _I _ / ,/, .iH Closed by: JrU. sJJ-.,4.Q (JJ-1 . Date: g- 1:93 I .l.2- 0) Notes: Amount Due: _ Pages for a total of $ Nam.:~'~~ J ~s~ Address: q ~'S.f- 00..& ~ 1.2 '::>~CX' . Agency or firm: L~~ ~~(.R,s a~ ~UAJ ~. ~ Telephone #: (ca4~ ~- ~~~ FAX#: (~4s) 'ZL'9 - (os~'">? Email address: o check here if you are requesting that the records be mailed to this addr~8. SPECIFIC DESCRIPTION OF RECORD: 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 reqUe3t 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 beseot via e-mail to the address listed above o I request that the rcoords be faxed to the number listed above