249
NOU-01-2010 15:35 FROM:
TO: 845
P.S/ll
FOIL Ser. #:
Chris Masterson 0
Christine Fulton 0
Sue Rose ~
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for ~ublic Access to Records
FOIL OUEST
v
FOR INTERNAL USE ONL Y
Received by:
Date Received:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONmNG g
FIRE INSPECTOR J{
lliGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
~- -'-fOWN-CLERK:--- - ---P-----.El--------~
WATER/SEWER 8
DOG CONTROL OFFlCER 0
TOWN ENGINEER 0
TOWN A TIORNEY n
FOR DEPARTMENT USE ONI.. Y
Dale Received by Depl 1/, ~
Department Head approval:
(imt)
// 0: / 0
Date Applicant Contacted: _I _' _
Dale FOIL fulfilled, denied: / /, ~ (CJ
CIOScdby:tY/_ ~- .
Date: ~ II 1 / 7 II (J
Nnles:!l-hus ,.J iJt ~;;&
Amount Due: _ Pages for a total of $
Name:~\ZAbe.-~ lL~~l.... 0 check here if you are
Address: ~. 14 (Ar~ e. (~~.,.....- requesting that the records
l' .,-MLe..... ~...... ~ O~t5y 0 be mailed to this address.
Agency or firm: €:' U V 1 12..0 U ~ ~..r~,. - ,,~\ (or,).
Telephone #: (",o~)2L-t~ - .,~~ 1..3> F^*#~(~~ )~- 01.~11
Email address: e .f ~ '\-l '^" ~ ~ ~ v ~ roo-" C or \' . (E...........
SPE~CJFIC DES.CRlPTlO..N OF R.ECORD:.... ---- . . ~
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FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
o J request copies of the records described abovc and agree to pay the cost of such records in
accordance with lhe fee schedule on the back of this application
y:( 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