206
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Masterson 0
Christine Fulton ~.
Sue Rose 0
Date Received: L / 6lq 1 .!.L
FOIL Ser. #:
C) 0 l.p
o~ vvAPp/
$~' . -:-:'~~,
.0/ ,..':::\~'
I~\~'~'
c,'\ . }z;!
;.Ac- ' ,,I ,J..'/
~~>u._ >,t" '
ss c()~
DEPARTMENT:
ASSESSOR rJ1
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR J
TOWN CLERK []
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN AITORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
J/~-,LL
.JJur-
(init)
1 1
Date Applicant Contacted:
Date FOIL fulfilled or denied: 1 1
Closed by:
~tl~
.::ll ~ 1 11-
Date:
Notes:
Amount Due: ~ Pages for a total of $ tJ ,~ ~
Name:
Address:
~fqL~G~
. b9 MJt ~.,
tiif2tl ;.) r
fl! c ~If Co
) . \G - ? h FAX #: (
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: (
Email address:
)--
SPECIFIC DESCRIPTION OF RECORD:
i t:-CfA'- I)!?5C ,e/~ 7/0 P r~1--\ I>~&!>
Prlt<.C bl- t>>J U:6tc. Kt>
v
()tJ
)cJ 4e j2e-
FORMAT OF RECORD (if available)
o 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
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