100
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by: Chris Masterson 0
Christine Fulton )If'
Sue Rose 0
Date Received: 4 /.lL / -1.L
FOIL Ser. #: J 0 0
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DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
S
TOWN CLERK
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
I I
Date Applicant Contacted:
(init)
/ I
Date FOIL fulfilled or denied: -:!L III I JL
Closed by: @
Date:
eLf /1L/~
Notes:
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Amount Due:
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm.:
Telephone#:(W"~-1J.fIO FAX#: (
Email address:
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SPECWIC DESC~TION OF RECORD~ I V Ort o~
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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 nmnber listed above