210
I
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 0
Sue Rose %'
Date Received: L / ;L / .J.L
FOIL Ser. #: d I 0
DEPARTMENT:
ASSESSOR g(
ACCOUNTING []'
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHNVAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
o~ w..~~1
~.~< . "~''''~.'
~ .' .,," ,~ '
,'0/ ..",,,,"~
'.-: ' .'
,'O\~l~'
c;...'. .. .. i z;.
'. /~..I
C" '.''''''
~~ss" co~~ '
FOR DEPARTMENT USE ONLY
Date Applicant Contacted:
~/~/lL
~
(init)
/ /
Date Received by Dept
Department Head approval:
Date FOIL fulfilled or denied: ~ / 2- / 11--
Closed by:
J.' flA
.:6...... / ~ / lL
Date:
Notes:
Amount Due: i..tJ- Pages for a total of $ -' ~ ~
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPJ'ION OF RECORD:_ fl ~ 5 .1.J _ A
PJ{.EJPfii-J'ZTi ,RE'LOR.D5 lot/' ~~CJ8 ot17rt n1/ef}'--'e
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