227
FOIL Ser. #:
Chris Masterson 0
Christine Fulton ]
Sue Rose ~
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING .~
ZONING 0
FIRE INSPECTOR 0
HIGHWAY u
RECENEROFTAXES J
RECREATION 0
SUPERVISOR J
TOWN CLERK ]
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER [J
TOWN ATTORNEY J
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Date Received:
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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Date Applicant Contacted: L!l. / /;;( / /0
DateFO~~denied:/O / 12/ /0
Closed by: --- ~ 67
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Date: l.Q. / I Z / /0
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.
Agency or firm:
Telephone #: (
Email address:
)--
SPECIFIC DESCRIPTIO~ OF RECORI;): r\
to kr.~ 00-1^-d Gr. VJ ,F 1261 D
FORMAT OF RECORD (if available)
I
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