122
FOR INTERNAL USE ONLY
Received by:
Chris Masterson 0
Christine Fulton 0
S~ Rose ~
;L/9-/jL
-:jf Io? /)
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING ~
ZONING ~
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
Name:
Address:
2009-]0-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
. o~ VJAP""
'~~' '. ":,",,,",,1;'
~/ . ",- ;;:~\
..... .:~'
~'.~. ,l>,
~" / ;,:,'
C" . '. r -A.:
:I.,~.._ ;..'..>..4.
7~SS"C()~"I:"
FOR DEPARTMENT USE ONLY
Date Received by Dept s' / .J ~/!.
Department Head approval: _
(init)
Date Applicant Contacted: ~ / ~ / II
Date F~l~enied: Sf 3 / / (
Closed by: /{ rY
Date: d~ ,5'/ <3 / II
Notes: Nil (1y.LM ~
Amount Due: Pages for a t6tal of $
o check here if you are
requesting that the records
be mailed to this address.
~AX#: ~5 )SS!L-OD hP
SPE;~D~O~ 8~709:b
~ Or I-)))K ~
~T OF RECORD (if available)
./
~~est to be notified when I can come to inspect the record(s) described above
/ est copies of the records described above and agree to pay the cost of such records in
'/ ce with the fee schedule on the back of this application
~ "'that the records be sent via e-mail to the address listed above
# \at the records be faxed to the number listed above