218
Date Received:
Chris Masterson
Christine Fulton
Sue Rose '(j!'
J/ l/ JL
-+lJ) ~
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
RECEIVED
AUG 09 2011
FOIL Ser. #:
ZONING ADMINISTRATOR
TOWN OF WAPPINGER
DEP ARTMENT:
ASSESSOR []
ACCOUNTING LJ
CODE ENFORCEMENT
PLANNING
ZONING ~
FIRE INSPECTOR []
HIGHWAY I]
RECEIVER OF TAXES [I
RECREA TION []
SUPERVISOR [J
TOWN CLERK [J
W A TERISEWER IJ
DOG CONTROL OFFICER I]
TOWN ENGINEER []
TOWN ATTORNEY IJ
FOR DEPARTMENT USE ONLY
Date Applicant Contacted:
XI!i1 II
~
kid/II
Date Recei ved by Dept
Department Head approval:
Date FOIL fulfilled or denied: kid I II
Date:
Closed by:
Notes:
Amount Due:
Pages for a total of $
Name: Michael C. & Annette R. Schrenkel
Address: 25 Chelsea Road PO Box 140
Chelsea, NY 12512-014C
Agency or firm: SELF
Telephone #: ( 845 ) 831 - 1941 F/.X #: (
Email address:schrenkel~yaol.com
check here if you are
requesting that the records
be mailed to this address.
) -
SPECIFIC DESCRIPTION OF RECORD: Any and all documentation related to the above named
person(s) and property held by the department checked above. Including, but not limited to notices,
correspondence, memos, reports, records of surveillance and/or visits, photographic images captured
during those visits, notes made during those visits, and any other documentation pertaining to alleged
code violations at the above address. ~
FORMAT OF RECORD. (if available)
""'.: '"
,
I request to be notified when I can come to inspect the record(s) described above
I request copies of the records described "bove and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
X I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above