217
TOWN OF'VAPPINGER
20 MIDDLEBUSH RD.
WAPPINGERS FALLS, NY 12590
TOWN CLEIU(
OFFICE: 845-297-577] ~FAX: 845-298-1478
6
APPLICA TION FOR PUBLIC ACCESS TO RECORDS
Date Request Received: 6)/1 9/36/1 () FOIL # At d 11
Recorded: Chris Masterson, Town Cl er1c
From:
Print Name:-rp,J f6rJ
Agency or Finn:
Address: 7/4 S \~r- L (I\1G
Tel. #: ~4S - 2- C) 7 ~ q I S-7
SAM IN
V~I \IE.. 1 vJAfPF/N(j2K-.'; FL5; N'IIl5' 0
Fax#:
I hereby apply to: inspect the following record and/or
V receive a copy @ .25 cents /page if available to the public
Description of record requested:
Pr cofY ()r 6IJ1,-VINc' ferrJ'-1/f POf? fA-f~-C.e(
13';bg1... '35""8-01 -1't4S-I5""'
17 (~/-{/fl
'j;. 7 s/
APPROVED/DENIED
REVIEWED BY:
RECEIVED BY: i!rt~
DATE RECEIVED: 9-.3() -/()
{). rJi~
Open 0 In Review 'flosed~enied 0
APPOINTlvlENT SET: 9 -0 0 ~I ()
DATE FILED:
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