053
FOR INTERNAL USE ONLY
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose ~
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Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING ~
CODE ENFORCEMENT
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
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FOR DEPARTMENT USE ONLY
Date Received by Dept .2. I L I 1/
Department Head approval: ~
Date Applicant Contacted: 3 I .5{ I L
DateFO(fuJ~denied: 3/ .!:iJ II
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Date:
Notes:
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the
I request copies of the records described above and ag
accordance with the fee schedule on the back of this a /OWD
I request that the records be sent via e-mail to the add1w~ &__.___
I request that the records be faxed to the number listed above
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