222
Date Received:
Chris Masterson 0
Christine Fulton ]
Sue Rose @(
((/-'l/~ .
1t8BD.
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY []
RECENER OF TAXES J
RECREATION 0
SUPERVISOR J
TOWN CLERK J
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN A TIORNEY !J
r/
FOIL Ser. #:
FOR DEPARTMENT USE ONLY
Date Applicant Contacted:
~/lL/~
~
(init)
/ /
Date Received by Dept
Department Head approval:
Date FOIL fulfilled or denied:
/
/
Closed by:
Date:
/
/
Name:
Address: ~ *d';'~V rJ'i
Agency or firm: )
Telephone #: (~L{srY.L1.;.... n J S"F'AX #: (
Email address:
Notes: 100 CLlpie3 ~
Amount Due: --L1- Pages for a total of $ 0
o check here if you are
requesting that the records
be mailed to this address.
)--
SPEC~~p:~~ OF fJ:;~
2P~~
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