171
Received by:
Chris Masterson 0
Christine Fulton ~
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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. #: I '1 I
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING S(
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
VVATER/SEvv.ER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
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Date Applicant Contacted: Jt.. I ~ I I 1L-
Date FOe, denied: k I zJ I J.L
Closed by: H 4
Date: ~J- it... I J:L I ~
Date Received by Dept
Department Head approval:
Notes:
Amount Due:
Pages for a total of $
Name: ~e:l.Ji I-..,) ~1L\J;::.t. 0 check here if you are
Address: "<<0 3Gl..\... \\uU....o \....) Q...C';) requesting that the records
Y (J ~ ""A "'" '-' ~ \\ ...~ be mailed to this address.
Agency or finn: So\c SUfU~'~'T "'"
Telephone #: ( ~ '3 I )<1 t <.. . '-I ~1.:3 AX #: (~'3' ) "S 11.1"to1
Email address: IhJ\N fY\"5 \-\ llI:\J ~Il. A '^-o(). C~""'
SPECIFIC DESCRIPTION OF RECORD:
CO?~ C'i~'-\I\..J;:,,\ tor 8 L-A(L""S.'S.A L-tC\N~ ~ 'S'58 - '3. - d-1143ca
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
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