107
Apr 1~ 11 12:58p
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845-225-8931
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Received by:
Chris Masterson [/
Christine Fulton 0
Sue Rose a-
-1.1 .1.J.. / .1.L
#/()7
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOILREOUEST
FOR INTERNAL USE ONLY
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING n
ZONING 0
FIRE .INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES U
RECREA TION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWNENG~ER 0
TOWN ATTORN.EY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept 4- / ,;20 / ~
Department Head approval: ..tif2::..
(in it)
Date Applicant Contacted: d.. /2!!.... / ~
Date FOIL fulfilled ~dl zo / ,!'
Closed by: 1-16-
Date: c~-bj
Notes: ~
.1/.20 /~
~
Name:
Address:
Amount Due:
Pages for a total of $
e.. 0 check here if you are
tlv~rj requesting that the records
be mailed to this address.
cY\
fo&i ~-::ry' Or:
A PT. \y (!. ::
96
FORMAT OF RECORD (ifavaj]able)
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I request to be notified when I can come to inspect the record(s) described above
I request copies ofthe records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
I request that the records be sem via e~mail to the address listed above
J request that the records be faxed to the number listed above