045
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose ~
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
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ASSESSOR lJY
ACCOUNTmG 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE mSPECTOR 0
HIGHWAY ..........0/
RECEIVER OF TAXES ~
RECREATION 0
SUPERVISOR 0
TOWN CLERK D
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGmEER 0
TOWN AITORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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Date Applicant Contacted:
(init)
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Date FOIL fulfilled or denied:
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Closed by:
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Date:
Notes:
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Agencyorfinn: %1f .. ~- {"-5'jo
Telephone #: ( ~ 'i 5) ~- ") ~ (" '7 FAX #: ( ) __
Email address: Al { A
Amount Due:
Pages for a total of $
o check here if you are
requesting that the records
be mailed to this address.
SPECIF.!C-DESCRIPTION OF RECOW: ...,,-1-' ""
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FO~T OF RECORD (if available)
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I request to be notified when I can come to inspect the record( s) described above
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
I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above
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