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111 ~ tax berver 1:1:/20/2011 2:42:43 PM PAGE 1/002 Fax Server TOWN OF WAPPINGER ~ 'VJA~p... " ,~" '~'"'-:-':'~!' \ Ii:' .~~\:,tll'''''-'',,':, ~..\ ._.~' ."'-''1'\'' 0." . \'. 1-/ ',--:... ..~I ,t', ~li ., ..::-__.-r-.-r.I;JI' I' C),j71"il"""""'"','z-:, ; ,r:;, lZ~.' ....:...( .'tl~~"'f,: .. '.'" ;. 'trtl."('!~' ..~';':;.~~ I ~."'~ .l.l....... AECEIVi AP 'ED R20 BWi.D 2011 "'0 tNG D WNop E:PAFrr. WljpPINMGctvr cR . 20 MIDDL1JBUSH RD. WAPPINGBltSFALLS,NY 12590 TOWN CLERK OFFICE: 845-297-5771-FAX: 845-298-1478 I APPLICATION FOR PUBLIC ACCESS TO RECORDS' Dale Request Received: .. i t3 {J -II FOJL # III Recorded: Chris Masterso~ Town Clerk From: Print Name: :- AdavY""l c..o.("d.O)'1a Agen.cycrr Firm: _ R~~o'" . Address: \ 0\6. COu.t"\~Q,.d. (..o.,\e. ?\c).U..' ~'lJ\S'\~ Tel. #: 5 \.10 -loCo 6 ... cto 00 Fax. #: 5l(O - cl \ 3 - 5<0 as' I hereby apply to: inspDot the following record and/or " :receive a copy @ .25 cents /page if available to the public ' Description of recofd requested: L be,'" \ V\ If 0. (..0 ~~ ,... ,_.... ~ " Su Prtta.<-V\ ~v u<-e..('Y\\ S~9>.. .. . 01; ILd~ ~ Department Head ~ RBCEIVW BY:J.<JJ DATE RECEIVED: 4-2-0 -( ( Open 0 In.Review 0 Closed 'Ferried 0 APPoINTMENT SET: APPROVEDIDENIED REVlEWBD BY: DATE mED: "