230
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose f!
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
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FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0 FOR DEPARTMENT USE ONLY
ACCOUNTING t
CODE ENFORCEMENT Date Received by Dept JK.I ~I J.L
PLANNING Department Head approval: -J.12$
ZONING 0 (init)
FIRE INSPECTOR 0 Date Applicant Contacted:
HIGHWAY 0 I I
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RECENER OF TAXES 0 Date FOIL fulfilled or denied: ~ I ,0::;-1 ..LL
RECREATION 0
SUPERVISOR 0 Closed by: "..1 (l .k
TOWN CLERK 0
WATER/SEWER 0 Date: --R:.Ili 111-
DOG CONTROL OFFICER 0 Notes:
TOWN ENGINEER 0
TOWN ATTORNEY 0 Amount Due: ~ Pages for a total of $ (J, ':;;1)
Name:
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Telephone #: ..#1 flZ.- ftJ ;;f:.;it. ( )_-
Email address:
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requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION 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
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 1 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