157
Received by;
Chris Masterson 0
Christine Fulton pt
SJ!e Rose 0
2/~5/ .!.L
J'5'7
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
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FOR INTERNAL USE ONLY
Date Received;
FOIL Ser. #:
DEPARTMENT~
ASSESSOR 0
ACCO~G ~
CODE ENFORCEMENT 0
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
FOR DEPARTMENT USE ONLY
Date Received by Dept 6 I '10 IlL
Department Head approval: CL--
(tili) ,
Date Applicant Contacted: ~ I 7-1 ~
Date FOIL fulfilled or denied: ~ I '-I t I
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Closed by:
Date:
Notes:
Amount Due:
Pages for a total of S
Name: r3 ell bOt. or"- G' u + z. I e-v~
Address: S- /!.us, e T L-ct.--YI e.
W0ff; Y1~ e-r{ rtA.tls ,NY /OZ"s-'itJ
Agency or firm: -
Telephone#: (&ll '-( ) ~- l.( t5'-/cFAX#: (g-4.r) Q2'i'1 -
Email address:bo.rbClLL+:z-Ie.r@Clma;l.um
o check here if you are -
requesting that the records
be mailed to this address.
.5 02..1 -:;L
SPECIFIC DESCRIPTION OF RECORD:
f2..ecc'ids .f3v.r +t..e. use i-ILe O'M~..r" nOlAse L"ry\.. UI;lcltVct1d r,ve, '.
-C'li.~)I',/1A( bu;ld;~j permIT aV\d. Ctnj :LO>'l;lIj /h~.rrn;h &or vt1r,'~Ct'5
- co r I , I /1"- I C1.tJ /YIf 1&<.,,, f f,'le tI (J.1'cU /I r-1' f ref t2-,r 1; r!7Ah1 'i'.y- a..,cI res u.. rt
- all fJl++C"'n~jS J?//15 ~nd e~tArt .r:e~5 .-s~ -k +I.L~lI.
- &l.' tL -t-ft;."n TJiJ ,lis a.,.d ~(,{rt e t!:'s Clld iJ fr;n.,pn.
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
o 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
at I request that the records be sent via e-mail to the address listed above
o 1 request that the records be faxed to the number listed above