193
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Masterson 0
Christine Fulton 0
Sue Rose A
Date Received: ~ 18l11JL-'
FOIL Ser. #: J q .5)
DEPARTMENT:
ASSESSOR ::;.g-..
ACCOUNTING ~
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
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 ATTORNEY 0
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FOR DEPARTMENT USE ONLY
Date R~ceived by Dept
Departnlent Head approval:
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Date Applicant Contacted:
(init)
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Date FOIL fulfilled or denied:
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Closed by:
Date:
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Notes:
Pages for a total of $
Amount Due:
Name:'
Address:
o check here if you are
requesting that the records
be mailed to this address.
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