035
02/15/2011 Tlm 13:08 FAX 845 437 3394
REGION 8 REAL ESTATE
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I4J 001
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Received by;
Chris Masterson U
Christine Fulton J
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
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Date Received:
FOIL Set". #:
DEP AR'1'MENT:
ASSESSOR
ACCOUNTING fl
CODE ENFORCEMENT 0
PLANNING 0
ZONING [J
FIRE INSPECTOR I I
HrOlIW A Y 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR l.J
TOWN CLERK 0
WATER/SEWER U
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY U
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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(init)
Date Applicant Contacted;
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Date FOIL fulfilled or denied: -A 1 J.S""/ LL_
Closed by:
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Date:
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Amount Due: - Pages for a total of $ __
Name: J(i7'S-l-;" Ccrl...J'bn. IflES"T&.. n check here if you are
Address: $cB V (nt.,..t+ Bou/; ua Y'td requesting that the records
Po Llr#Kt..,-/.$,ft 4\J~ _ Jd. CL 03 be mailed to this address.
Agency or finn: IVY. ~. c{:.:r,./4J1"l:;jo~.G'1
Telephone #: ra-Y? )'tEL-13If:q FAX #: (9'y;-) !i!21..-J'3'"
Email address:Xc.oi::!o..-.C!i.de.1.S...tt;;t:;;fe . n "'oJ IJJ
FORMAT OF RECORD (if available)
U I request to be notified when I can come to inspect the record(s) described above
L 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 ofthls application
1 request that the records be sent vi.a e-maiJ to the address listed above
1 request that the records be faxed to the number listed above
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