209
---
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Masterson ~
Christine Fulton 0
Sue Rose 0
Date Received: 8 / ~ / II
---
FOIL Ser. #:
;2oQ
. ~ VJAPp
. ~~'" ," --.,~-t.',
~ ;, . ,c. - ,,~,
0./ "',\~.
Ii I- .f ....,.
,o",,~...,. 'JI>..'
C', ' '2:1
.,A ,! ...' '
, C'L', .,,'.....'
:"T(,ss - co.u~
DEPARTMENT:
ASSESSOR 0
ACCOUNTING )('
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR If.
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
<t /j/,\
--fp
(init)
{, /l/JL
Date Applicant Contacted:
Date FOIL fulfilled or denied: ~ / ~ / J.L
Closed by: ~t~\V\~ O~\;L.tj
Date: ~ ~/2--/i
Notes: ~ e l'YlA-i Ie cJ.
Amoun~' ages for a total of $
Name: (,()I h,llll""'- r f'G l\OvV
Address: /8 (4'-10... J, sT~
Agency or firm:
Telephone#: et~-) )4a- - S/O) FAX#: ( )_-
Email address: xe'-c R. d-;).. ~ /7J8/lJ. CO IVl
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD: L
ATI<>vr Peco.<. '116 . ~ rYJ;lD.f.
cE. 1.//1111 7!lfJ() 0/' I. 71,-e
eli/II. / /.
~~M~ Pd>. }; ~foL
~ o/l... 1./ It, 7b
r ,
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
jsij: 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