141
FOIL Ser. #:
Chris Masterson 0
Christine Fulton 0
Sue Rose V
~/~/1L 0
ILfI
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
RECEIVED
MAY 1 3 2011
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FOR INTERNAL USE ONLY
Received by:
Date Received:
BUILDING DEPARTMEN __
TOWN OF WAPPINGER
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEP ARTMENT USE ONLY
Date Received by Dept 5' / !JJ / II
Department Head approval: - ~(;jll{~
Date Applicant Contacted: 5/ 1&/ II
DateFOI~lffi~denied: S y~/ If
Closed by: 116-r
Date: S-/ /~ / ((
Notes: ,Jb (00 J1~
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Amount Due: _ Pages for a total of $
Name: BEf=\~\Gt:. S~o\-
Address: II.. l-J '75 ~ '\' \.:)~-V t-\-" ~ C
Lu~?()\NGt:iQ. t="At.-\.{,. N"-I
Agency or firm: 5e..l ~
Telephonq #: (EY-<5) '1 Cj 7 - ~ J..D FAX #: ( ) --
Email address:
o check here if you are
requesting that the records
be mailed to this address.
FORMAT OF RECORD (if available)
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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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