237
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose .... 0..-
LI d11.JL <J
1/,93 7
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
of( VJ..!-.?p,
.!!i:~,~" ',>"'~'
~/ ' ". 'l~'
~i ""~
o'~' \>
c::.,',' ,,' f~,'!
~ r'....'
(I' , ',A..
~~ss"cO~~ '
FOIL Ser. #:
DEPARTMENT:
ASSESSOR ~
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGH1VAY 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
Department Head approval:
_1../ ;l3 / 1L
~
(init)
Date Applicant Contacted: _ 1 _ / _
Date FOIL fulfilled or denied: ~ / ~3 / /1-
Closed by:
fJlltfr
J./ 431 .1L
Date:
Notes:
Amount Due: ~ Pages for a total of $ V. J <;'
Name: (! 1/ C,t'{Z ~J (111 '\
Address: v\,.6 %l ~J.l \~ (l9
WGw ~ ~ ...t \' f -Z-n"'D
Agency or firm: c~ ~. A1 P(2(~t \1t'l,)
Telephone #: (f'fj ) ~- 'J.. 7o:.~ FAX #: (
Email address:(.elM~tlL("e.We.(t\t.UY1
o check here if you are
requesting that the records
be mailed to this address.
) -
SPE !FIC DESCIW)}ON OF RECORD: /)
, ~t rY (ll,-C ofl:Y c,~ V +~)(.. ~A-'r
Zl--- ~t<<"1L 11 {h ~
~ I Sl~~ I~L\ 1
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