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216 Date Received: Chris Masterson 0 Christine Fulton 0 Sue Rose "'l?f L/L./LL- ~ 0)/1.0 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST FOR INTERNAL USE ONLY Received by: DEPARTMENT: ~~ ASSESSOR V ACCOUNTING 0 CODE ENFORCEMENT 0 PLANNING 0 ZONING 0 FIRE INSPECTOR 0 HIGHNVAY 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 .' ~ ~AP,.. '~,~'..' -......:/~. ~/ .~. 1;" o / ' .;\~. I-'~' ..et.\..~' . ......\>-.. c:;.. i\~! ~ ,...' (' " . r" : ~~ss "co~~ . FOIL Ser. #: FOR DEPARTMENT USE ONLY Date Applicant Contacted: ~I 3-1 JL .lJ.!df (init) 1 1 Date Received by Dept Department Head approval: Date FOIL fulfilled or denied: 1i. / .:L 1 JL. Closed by: UaA ~I ~/~ Date: Notes: l MpC.l 10 r \? Jd, ~p1'. Amount Due: <6 Pages for a total of $ ~, 0 0 SPECIFIC DESCRIPTION OF RECORD: p..e-?r-e~r{) CI c,:t J ;I?1t J ~u/JJ?- B/ee~. 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