192
FOIL Ser. #:
Chris Masterson 0
Christine Fulton 0
Sue Rose A,
3-/ cZlJ Ie) -.
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2009-} 0-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR :::S-..
ACCOUNTING 0
CODE ENFORCEMENT 0
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PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
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Date Received:
FOR DEPARTMENT USE ONLY
P_l!t~ ~~~eiv~~py D~_~ <6 1_ J. 7/J.L
DepartmenfHead approval:' ,.-' , .. tlizdPr-
(init)
Date Applicant Contacted:
1 1
Date FOIL fulfilled or denied: --K 1 d- 7/ J.L
Closed by:
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Date:
Notes:
Amount Due: ~ Pages for a total of $ 800
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
SeP, CIFIC DE~IPTIOtl OF ~ORD: d
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,
FORMAT OF RECORD (if available)
o 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