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142
Date Received:
Chris Masterson 0
Christine Fulton ~
Sue Rose ~
5" /13 /-tL
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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. #:
RECEIVED
MAY 1 3 ZOn
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DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W ATERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
BUILDING DEPARTMENT
TOWN OF WAPPINGER
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FOR DEP ARTMENT USE ONLY
Date Received by Dept
. Department Head approval:
/ /
Date Applicant Contacted:
(init)
/ /
Date FOIL fulfilled or denied: / /
---
Closed b~
Date: ~ \(
Notes:
---
/ /
Amount Due: _ Pages for a total of $
Name: PJt~lLE: "'5AR>D\-
Address: \&&~~~. \')~~. t;'t;-
l.0'A \) -(;L ~ L.. ~ \ '-/
Agency or firm: '6tjL.F )
Telephone #: ( eJf1)...1ll- J.o(j.6 FAX #: ( ) --
Email address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
AN" FH()\) ~'- L (:>~-~ DoN~A~ ~t~eN \.lJ-x.,\)\..e\; I.......
G R..e'~ Lc.>'N \.:)v~\ N \ V'N'o... A.\K) ':> ~...Q.~ ~\J..J"-J
FORMAT OF RECORD (if available)
ir
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
o
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