022
FOIL Ser, #:
Chris Masterson 0
Christine Fulton 'tJ
Sue Rose 0
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
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Date Received:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 9'"
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK CJ
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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(init)
Date Applicant Contacted: () ).. / d t 1L-
Date FOrLfuifil~ denied: 0 ;}../ OL/t II
Closed b~:"'/" /<1 ?
Date: Ol / () ..it II
Notes:
Amount Due: _ Pages for a total of $
Name: ~1cke(i '(sNC!) I~
Address: iJL~ I~ Dr
tu~f7' ~ Fc(((S Ny P'S'lcJ
Agency or firm:
Telephone #: (&'(~')) ~q? - 0 %1 FAX #: ( ) _-
Email address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
2.2. VOR.N~Af\I [)(2, CODE VIO(fffION5
FORMAT OF RECORD (if available) I
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 number listed above
