231
Date Received:
Chris Masterson 0
Christine Fulton 0
Sue Rose 11
L / K.I .L.L
J')~ 930
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
FOIL Ser. #:
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DEPARTMENT: ~
ASSESSOR ~
ACCOUNTmG 0
CODE ENFORCEMENT 0
PLANNING 0
ZONmG 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN AITORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept Jt I ~ ~
Department Head approval: M~
(init)
Date Applicant Contacted: J::. / I ~ 1 ~
Date FO~r denied: -.J.. 1 121 ~
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Closed by:
Date:
Notes:
Amount Due:
Pages fora total of $
Name:
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Agency or firm: -_:~ . n :, _ · ! ~ k -R
Telephone#: f >"11rr.- . r -~AXII: ( )_"
Email.address:
o check here if you are
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 Tequest 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 Tequest that the TecOrds be sent via e-mail to the address listed above
o 1 request that the records be faxed to the number listed abov.e