253
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Masterson 0
Christine Fulton J
Sue Rose ~
Date Received: J.l / t- / J..!L
FOIL Ser. #:
853
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DEPARTMENT:
ASSESSOR 0
ACCOUNTING ~
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIG~AY J
RECEIVER OF TAXES :J
RECREATION 0
SUPERVISOR J
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY :J
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
il/ oJ/jO
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Date Applicant Contacted: 11/ !2.i / LQ.
Date FOI~ denied: II /0 P I ,/0
Closed by: tI1 (J-
Date:
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Notes:
Amount Due:
Pages for a total of $
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o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: (fiWn ~- 317.1// FAX #: (
Email address:
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SPECIFIC DESCRfJ~F~RD:
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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 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