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156 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST FOR INTERNAL USE ONLY Received by: Chris Masterson g, Christine Fulton ~ Sue Rose 0 2kZY~ /5w Date Received: FOIL Ser. #: ~ VJAJ>p it- ~' ,,~.~--t4: .~ / " " ,.P~' 0,' ,...'::.... ,...: . ~,'''' , ~'. ...-----.. ',' ,'>," r:;.. . ; 2i I . C' ' ,_ _ r~~' ~~ss"co~+ 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 ATERlSEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER 0 TOWN ATTORNEY 0 c _ .l'JFOR DEPARTMENT ~SE ONLY e Received by Dept .:. / ,l Si // Department Head approval: - ~ (init) Date Applicant Contacted: .i;L / 0 I /..!..L- Date FO&or denied: ./12...1 P...L / g Closed by: ~ 0:- Date: ~/6//{/ Notes: Amount Due: Pages for a total of S Name: t3 Ci.r ho. orA G' LA. + 2. I e'.r Address: S tu s, e t- 1- tt"" e- Wtiff; YI~ eI\ re;.,t/s ,NY /~J-tjtJ Agency or firm: - Telephone #: ( &j I Lf ) '7$'9 - L( ~/() FAX #: (~4J)~- Email address:bo.rbQiJ+~/er@o./Y\tJl.i t. C4W1 o check here if you are requesting that the records be mailed to this address. 5c;1../a- SPECIFIC DESCRIPTION OF RECORD: f2.. e CC'C' d s .f3o..r -M e. CA s ~ f-I1.-e tJ' /Vtt;.. O'~ h "iA S ~ 1.."""" U': Icl tV" ~d ri ve. '. -()(i,':J'/lA ( build,'nj per-mi-f tt/l\d. Cln~ ';l.(]Y\;"'j te.rm ;f;, &r vt1r,'~Ce5 - Ori 5'/1~1 ~/YIfla,i"f A-let! o.~'(~//I~'" frcftl-r1J r:rw/J'l'~ ef41d resulT - a tI tJlffc-rn{/s bd/s ~nd C-t'urt ~ee5 ~e.,VI -fc -+t..tL ~1l -a./ tt -j-+z,Y'1'l e I) ,'lis and ~t(rte es Cl id" f:n,vn. FORMAT OF RECORD (if available) 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 1 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 o ~ o