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2009-10-16 JCM
TOWN OF WAPPINGER
"--.'Applieation for Public A~cess to Records
. FOIL REQUEST
FOR INTERNAL USB ONLY
Received by:
Date Received:
FOIL Ser. #: ~
DEPARTMENT:
ASSESSOR 0
ACCOUNTING [j
CODE ENFORCEMENT 0
PLA~'NING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY il
RECEIVER OF TAXES 0
RECREA nON 0
SUPERVISOR n
L
TOWN CL~RK A
WATER/SEWER O.
DOG CONTROL OFFICER 0
TO\\l'N ENG~'EER n
w
TOWN A TIORNEY I;
......
FOR DEP ARlMENT USE ON1.. Y
Dale Received by Dept
Department Head approvat:
. I /
Date Applicant Contacted:
(init)
/ !
- Date-roIL 'fulfilled or denied: / /
Closed bY:.~ G1... . /
. t AS-! ~
Date: 'v ~}
Notes:
/-5-/0
! /
--
:1
Amount Due:
Pages for a total of $
J1 check here if you are
. . requesting that the rec.ords
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspecnhe racord(s) deSLri~d above
;j 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 hack of this application
/ I request that the records be sent via e-mail to the address listed above
If I request that the records be faxed to the number listed above