274
Received by;
Chris Masterson 0
Christine Fulton 0
Sue Rose ~
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
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FOIL Ser. #:
DEe 1 QLU\U
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 'fl.
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
FlU1U'\'~lG r'lEPAm'MM
'?INGER
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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(init)
Date Applicant Contacted: /;;<.. /;)2' / /0
Date FOI~enied: L Z! U/ /0
Closed by: 4G-
Date: / 7-{ ZrJ-/ r" CJ
Notes: U ..Me t4.~ -
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AmOWlt Due: Pages for a total of $
Name: Ke,,,,,,, ~ IE:.
Address: It:\.' ~'t. ~2-
CE.N1"42.AL- '1AU..e:1 , N ~ \0\"
Agency or firm: K.e'\ \N 8RoOIe ARa-\\Ts:..,.
Telephone #: (ec:tS)C\2e - 2~ FAX #: (B1S) ''(22) - ~sa(
Email address:~~FtC01e..oPreN.-\NE.NE.
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
~\1'ec.."1"~,- ~uNG..S.. fee.. &"\l-O'N to
f~MEP- GA'{e,",Aoi s.1'~
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FORMAT OF RECORD (if available)
1" 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