221
FOR INTERNAL USE ONLY
Received by:
Chris Masterson 0
Christine Fulton ,
!till) -LL 0
-3d-1
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTfNG 0
CODE ENFORCEMENT 0
PLANNfNG 0
ZONfNG 0
FIRE fNSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REOUE~~
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FOR DEPARTMENT USE ONL
Date Received by Dept -.if; to iJO~ I
Department Head approval:
(init)
Date Applicant Contacted:
I I
Date FOIL fulfilled or denied:
I
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Closed by:
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Date:
Notes:
Amount Due:
Pages for a total of $ (
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIlT.1RN OF RECORD:
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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