238
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose 'lr
L/(Q/LL
if B,')y
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT 0
PLANNING 0
ZONING 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 ATTORNEY 0
t
, o~ W~!"!:I
./",~' ":'+~,
.0/ ",~,~
,~.-" ,
,0'\;;;:' ' '\>
c:., ' I z'
;,A /~,'
C' ' ',' A.. .
,,:I.,~,,- -,'''>'''
"7" 5S .. co~"'"
Date Received:
FOIL Ser. #:
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
~/~/J..L
JJ.i.A
(init)
/ /
Date Applicant Contacted:
Date FOIL fulfilled or denied: .56... / ;.L3 / L1-
Closed by:
fJp-A-
..$:.) ~.2.1 LL-
Date:
Notes:
Amount Due: -=1- Pages for a total of $-1 ' 7 S-
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
~CL~D - F.fl0rn f JJD
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record( s) described above
(;gt 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