016
FOR ThITERNALUSE ONLY
Received by:
Chris Masterson 0
Christine Fulton 7
Sue Rose .t)
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Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR ~ - J.5
ACCOUNTING 0
CODE ENFORCEMENT ~ -- / C:,
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATfORNEY 0
Name:
Address:
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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Date Applicant Contacted: Q.J.. / ;l-~ / !!-
Date F~~l~;;t denied: 0 ( / 2 g./ !.!-
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Closed by: H G
Date:
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Notes:
Amount Due: _ Pages for a total of $
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o check here if you are
requesting that the records
be mailed to this address.
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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
CJ I request that the records be faxed to the number listed above