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226 FOR INTERNAL USE ONLY Received by: Chris Masterson 0 Christine Fulton 'iJ SDue R~ 0 I_I 112- ~ Date Received: FOIL Ser. #: DEPARTMENT: . / ASSESSOR U2r ACCOUNTING 0 / CODE ENFORCEMENT \Q/' PLANNING 0 ZONING 0 FIRE INSPECTOR 0 HIGHWAY LJ RECEIVER OF TAXES J RECREATION 0 SUPERVISOR ] TOWN CLERK J WATER/SEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER [J TOWN ATTORNEY J SPECIFIC DESCRIPTION OF RECORD: 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST o~ vJ~!:.PI $tCWr. ' ;:.+~" :0/' "~~~ '...' ' , Ii, ' , \.....:' ',O\S;;; ~"'-'i c... }Z' "A / ...../ (I . ",A,,' ,~,~ ,_ _,' ..30. ' "7"55 "c()~-';- FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval: 1Q. 1 a:. 1 li!- ~ (init) I I Date Applicant Contacted: Date FOIL fulfilled or denied: lQ. II ~ I UL Closed by: t-JtUA- Date: jQI I~I ~ Notes: Amount Due: A- Pages for a total of $ t, 0 () o check here if you are requesting that the records be mailed to this address. c ~CJ-- 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 recprds be faxed to the number listed above