196
FOR INTERNAL USE ONLY
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose .~
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Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING .0
ZONING .~
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN A TIORNEY 0
Name:
Address:
Agency or firm:
Telephone #: (~S.)
Email address:
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
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FOR DEPARTMENT USE ONLY
Date Received by Dept 11.201 t I
Department Head approval: - P1 c:--
(init)
Date Applicant Contacted: ~ 1 VJ 1 I (
Date FOler denied: 21do 1 LL
Closed by: H C-
Oate: --; . ~/ ~O/..:L
Notes: Cof..u-o ~a~
Amount Due:
Pages for a total of $
o check here if you are
requesting that the records
be mailed to this address.
.11 FAX#: (~~) 5SQ- 00 &d"
SPEcmCDESC~r~pe~~r~
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FORMAT OF RECORD (if available)
~ 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