277
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by; Chris Masterson 0
Christine Fulton ~
Sue Rose 0
Date Received: / It::.. laD laM D .
FOIL Ser. #: dlt.J.,f- dl1
DEPARTMENT:
ASSESSOR ~
ACCOUNTING 0
CODE ENFORCEMENT 1J
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept ld.. I QiQ. / ./JL
Department Head approval:
Date Applicant Contacted:
(init)
/ /
Date FOIL fulfilled or denied: I Z- I d!2-. / ~
Closed by:
1J1t:~
Date:
~ / :l-c / 1...!L
Notes:
Amount Due: --':L Pages for a total of $
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