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188 Au~ 19 10 12:46p Micke~ A. Steiman r.UU! IIII.VIVI 'UL V.I. 1.1 nlll ~ LOR INTER"NA]., USE ONLY' Received by: Chris Masterson 0 Christine Fulton ~ Sue Rose ~ 2-1 fi.//L bate Recei...ed: FOn. Ser. #: I 5fY DEPARTMENT: ASSESSOR 0 ACCOUNTING 0 CODE ENFORCEMENT 0 pLANNING 0 ZONING 0 FIRE INSPECTOR. 0 HIGHW A Y 0 RECEIVER OF TAXES 0 RECREATION 0 SUPERVISOR 0 TOWN CLERK. )@ W A TERlSEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER 0 TOWN ATTORNEY 0 845-229-6338 rnl\ "V, u"tJ p.8 I. UUL 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST 0' .'II.A.!'P/~ .s~~' ..p~ o ~ t- 0: ==:;::;.~, c:. ~.~ ,z .,;. . 'A1I!:l!!IF, .' .... C' '"'IINf"" "" ~(".. .,' .,~ S5 cO" EQR DEP ARTMHNT USE ONLY Date R.eceived by Dept Department Head approval: I I -~- (init) Dat. Applicant Contacted: L ,# 'I , / (J - ~ Date FOIL fulfilled or denied:l1' _, - Closed by: - / IHte: / 1 'f(M~ ./P1>>Y1JeL>j - ~ - NO'el' ~71:!:/i:f",~~1E'{:Y j,(} Amo\D1t Due: _ ages for a to ofS o check here if you are requesting that the records be mailed to this address. Nun.:1a;S~ ~Sl Address: q ~ n rlb~';!'I , Agency or firm: Lo.~ ~~k.e.s C)~ <e..rva.nLtAJ ~ ~ Telephone #: (~'1~.l2:i.- ~~~ FAX#~ (")45) ID-- (os~ Email address: 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 cozne 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 scot via e-mail to the addrC:&8 listed above o I request that the records be faxed to the number listed above 0501236600 P.01/01 TRANSACTION REPORT I FAX(TX) [=~==HDA~!==!~!~~!=!~!~!~!~~!~=_----------------!coM~TIME!PAGE!TYPE7NOT-E--------------------!----j ----______ FILE _~~~ A~~~~4 09:35AM 2296338 ----- -O~OO~29 --1- ~-------------------------- ---- - -------- ------------------------- -------- ---- _!~~~!---~~---------------~~~ ~~~~ AUG/24/2010/TUE 09:36 AM Rug 19 10 12:46p Micke~ A. Steiman t\~Uf I II ..UIUf IV'" VoJ.I.l 1""(1 _ n LOR INTER"NAL USE ONLY Received by: Chris Ma3tenon 0 Christine Fulton ~ Sue Rose <5 .RJ 1'1- 11-2- l~ Date Rec~'V~ 'FOIL Sec. #:. DEPARTMEN't: ASSESSO:R. 0 ACCOUNTlNO 0 CODE ENFORCEMENT 0 PLANNING 0 ZONING 0 FIRE INSPECTOR 0 HIGHWAY 0 R.ECBIV~R OF TAXES 0 RECREATION 0 SUPERVISOR 0 TOWN CLERK ~ W A TERlSBWER 0 DOG caN'TROL OffICER 0 TOWN ENGINEER 0 TOWN ATTORNEY 0 845-229-6338 r,,^ 1'\1, LiT..) p.t;i j. VvL 2009.10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST . COpy 0'" .""_~PII\ .l.~"...,a~ o . ~ ~I 01 -~..~ c~. ';):' ....~~- "....'" -Y.('-S5 i:.Q~~ FOR DEPARTMENT USE aNt y Date Received by Dept Oep.rtmc:nt Hc;ad. approval: I I Date Applicant Contacted; ~ (init) I I Date FoIL fulfilled or denied; -...1 _' _ Closed by: ~ /l11J./Y1JQJ Notes: . l.A, .-<;. '4-' /~/- Nam.:~~.. 'C.l. Add=s: - 'I - ~ ~if ~. ~ ~\~~ . Agency or 6nn: !...Q,~ C$~c...e.s: C;tl ~UA.O ~ ~ Telephone f#: (~49..z.n. lb~~ FAX#~ (,,4s) ~t9 . <O'S,Sj Email a.d4rcss: o chock hm: if you ace requesting that the l'ecordli be mailed to this addrC88. . . 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 reqaest to be noti6.ed when I can come to inspect th~ Tecord(s) dcscribod above o I request copies of the records described above and agree to pay the cost of such record8 in ~ ~ _oil . . ..... ., _ _ :..~ _ __