204
FOIL Ser. #:
Chris Masterson 0
Christine Fulton "I
~ Rose 0
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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:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES Q
RECREATION 0
SUPERVISOR J
TOWN CLERK J
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN A TIORNEY []
Date Received:
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
~/;l7111
~
(init)
Date Applicant Contacted: ::l 1 :211 .!.!-
DateF~denied: 7/ z7; II
Closed by: 1ft 0-
Date:
.2127/_
I~ It.~ ,~S- =- i_100
Notes:
Pages for a total of $
Amount Due:
Name: LED<I\J~~ ~6t..I0,J 0 check here if you are
Address: Z(p(p I:"t-v'J VI 1(("' ~b requesting that the records
&0,1 bl+lC.~..J,,'ir I ;-/-1~ 12.& D..3 be mailed to this address.
Agency or firm: r;zrcJ<:;'t:1 G'zJL~t.;hVc\l [), ~"!\.'\-j'1lte..J {!.cr-
Telephone #: (81-IS)~- ~8'?? FAX #: ( ~) L.We-- 'f ;-..ry
Email address: LFNA/elJo~ C? tJf>'itJN{(I-ve... < v~
SPECIFIC DESCRIPTION OF RECORD: ~ +=0
p~c..r ~ T4.Jt- 012
22., J?v:f L 0.'2 ..: J Ie t2D I I/J.,q.;JPA.i(O~ A4t:lJ I /lJ 7
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