037
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose (!f"
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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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FOIL Ser. #:
DEPARTMENT: ~
ASSESSOR
ACCOUNTING 0
CODE ENFORCEMENT Br':fl 3 '7
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGENVAY 0
RECEIVER OF TAXES ~ 1t"3 ~
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
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Date Applicant Contacted: .d.. 1 / 7 1 ~
Date FOI(fuIfiII~ denied: ;L. II 71 ~
Closed by:.... ." /1-/ C-
Date Received by Dept
Department Head approval:
Date: 2- 101 1'/
Notes: 1/O-JLU
Name:
Address:
Amount Due:
Pages for a total of $ /. 7 -So -
Agency or firm:
Telephone#: (q,tf)/~ -bq r? FAX#: (
Email address:
I1t
o check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC DESCRIPTION OF RECORD:
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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
;f!1 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 number listed above