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Date Received:
Chris Masterson 0
Christine Fulton ]
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Sue Rose c:r
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
FOIL Ser. #:
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DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY []
RECEIVER OF TAXES J
RECREATION 0
SUPERVISOR ]
TOWN CLERK J
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER [J
TOWN ATTORNEY J
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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Date Applicant Contacted: / 2- 1 0 f 1 /0
Date FO~ denied: I.l:- 102- I /0
Closed by: I( (-;
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Date: I Z 1 0 2-- 1 /0
Notes: Cb ;~
Amount Due:
Pages for a total of $
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
FORMAT OF RECORD (if available)
o
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I request to be notified when I can come to inspect the record(s) described above
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
I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above
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