123
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose 3--
~/~/~
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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. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~.
PLANNING rr
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 A TIORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ / ~ / II
Department Head approval: - NG-
(init)
Date Applicant Contacted: 5' /.;L / II
Date FOI~r denied: S"'l c3 / ~
Closed by: .If C-
/'
Date: ~ / 6 / II
Notes:
Amount Due:
Pages for a total of $
Name:~' VArm
Address: ~ l:,...
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Agency or firm:
Telephone#: ~ --ID7 FAX#: ( ) -
Email address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD: ~ ,f; I
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FORMAT OF RECORD {if available)
o 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
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