017
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose V
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2009-] 0-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
, o~ WAPp.
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FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT Y
PLANNING rr
ZONING 0
FIRE INSPECTOR 0
HIGHNVALY 0
RECEIVER OF TAXES 0
RE~REATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN A TIORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
o II ;2>11 II
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Date Applicant Contacted: 0 I 1;;2f; II
~~:9 denied: 0 ( I d.-151 !L
Closed by/ I({/
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Notes:
Amount Due:
Pages for a total of $
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
o
SPECIFIC'pE~GRJPTION OF RECO~:, \ f. ( t
to I:i..e.Ldsmf'R ?i VD (}.I~rp~8(S mJ s ~. \.(, tz:;tfo
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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
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