247
NOV-01-2010 15:34 FROM:
FOR INTERNAL USE ONLY
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose 1!
JL/~/JJL
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Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTiNG 0
CODE ENl~ORCEMENT 0
PLANNING J(
ZONING (J
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER Of TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK~. O~. ~
WATER/SEWER B
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
TO:845
P.4/11
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONI.. Y
Date Received by Dept
Department Head approval:
1 I
(init)
Date Applicant Contacted: .iL 1.l.1 /0 L/h
Date FOIL fulfilled or denied: L.!...I .!lIlt) tv'!;
Closed by: /~
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Dme: __1__1___
Notes:
Amount Due:
Pages for a total of S
Name: E, zg.. b~~ lt ~;--(.. ~ 0 eheck here if you are
Address: '1-14 C Ar~ L C~~ rcqucsting that the records
1> <Mt..L"'\'o '"' ~ ~~'S4 () be mailed to this address.
Agency orfmn: EU V ,,2..0l) ~~i-~lo1~\ ("~f)r
Telephone #: ("ol\ ) 2.L.i ~ - 4~ l..~ FAX #: (~Ct1 )~- Ol~
Email address: e~~\'t()"'- eel ~v~ '-o"-t.o[" ~. ('o~
SP~IC DESCRIPTION OF RECORD: _, ~ ' '
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FORMAT OF RECORD (if available)
I request to be notified when I ean come to inspect the record(s) described above
1 request copies of the records described above and agrcc to pay the cost of such records in
accordance with the fce schedule on the back of this application
1 request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above