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185 FOR INTERNAL USE ONLY 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records . FOIL REQUEST Received by: Chris Masterson Christine Fulton ~e Rose Date Received: L / /02 / ~ FOIL Ser. #: /116 .,. VJAPp,/ c;<- il!. .~.~",,_._c..,.... .:- .... . , ...... - '-:I) "0 - ~! ..' ',~' o ~/~.'_ c.-. ~. /J..'~ - " C' .~... . /y~ss co~ DEPARTMENT: ASSESSOR ACCOUNTING , ". CODE ENFORCEMENT ./ PLANNING ZONING FIRE INSPECTOR HIGHWAY RECEIVER OF TAXES RECREATION SUPERVISOR TOWN CLERK WATER/SEWER DOG-CONTROL OFFICER TOWN ENGINEER TOWN AITORNEY FOR DEPARTMENT USE ONLY Date Received by Dept Z / 1ffI' Department Head approval: . mit)" Date Applic~t' Contacted: 7 / ~ I ( Date FOIL fulfilled or denied: 2'/@j;j/ Closed by: Date: :2 / /5/ II . Notes: Amount Due: Pages for a total of $ . Name:~~ Address:) . ~~/ ) /,eI1tfJ/lJ~..R rif-~ /Jet /vrf";J Agency or firm: Telephone #: <1LIf) 140 - 0~l FAX #: ( )_- Email address: milt JIJ.~_ ___~Y).# (;D ,CZU check here if you are requesting that the records be mailed to this address. SPECIFIC D~CRIPTION2F ~ORD: 'iJ'p Ie ~t \ fA ~t14>t, ~ ~dfi '?1~ ~-~1"~S ~ < ~~'ltl " 2bl' -/.br~ ,Jay /2,71:>11 FORMAT OF RECORD (if available) I request to be notified when I can come to inspect the record( s) described above J 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 .SlIP 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