248
NOV-01-2010 15:34 FROM:
TO: 845
P.6/11
Received by:
Chri s Masterson. L I
Christine Fulton 0
Sue Rose ~
1L 1 .3...J LL
2009.10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONT.. Y
FOIL Ser. #: ~ ~ [(
/~- l/YAPii;'L',
/(E- - '-: 'Pc';
~/~~
.\~~)31
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'~ttis_ ~~/~
Date Received:
DEPARTMENT:
ASSESSOR J(
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING ()
ZON[NG ~
FTRE INSPECTOR 0
HlGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR U
I.Q~~LERK_. 0
WATER/SEWER f:l
DOG CONTROL OFFICER n
TOWN ENGINEER n
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONI. Y
Date Received by Dept l.!-I 2..1 ~
Department Head approval:
(init)
Date Applicant Contacted: lL 1 31 ~
Datc FOIL fuHmed or denied: 1.L 1 ..:L / ..l1L
Closed by:
fJU
JL / ..!LJ .LL
Date:
Notes: ~ ~ - /'1",12..: led 02 }ti.L..Y-U d
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Amount Due: Pages for a total of $ 0
Name: ~I; -ZA b~ ~ ~ ~.L..... 0 check here if you are
Address: "1-14 ~r~\ -€._ (~~ requesting that the records
7<M("L~....... ~ Of~4 0 be mailed to this address.
Agency or finn: e u V \ 11..0 U - '\-CA"~i-' ,,~\ Corp,
Telephone #: ("0,\ ) 2J..t~ - .,~ 1.~ FAX #: (~G=\ )~. 01~
Email address: e.v.:\~~, ~v~ roo""-cor ~ _ C'o~
SPhC DESCRlI'TION OF RECORD: -..1. _ - ,.~ ' '~
0:rrt~J\*~_~~\~ \--e~ ~r ',h_
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La(;")-o-+-(0710~'" ' .
FORMAT OF RECORD (if available)
o I request to be notified when 1 can come to inspect the record(s) described above
rl 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
)Ii I request that the records be sent via e.mail to the address listed above
o I request that the records bela-xed to the number listed above