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242 1I.TJe-31-20 11 12:02 212 702 6630 212 702 6630 P.001/002 ,- V"" FOR INTERNAL USE ONLY Received by: Chris Masterson 0 Christine Fulton ~ ~ Rose 0 Date Received: 13/ ILL FOIL Ser. #: 24Z DEPARTMENT: rI ASSESSOR ACCOUNTING 0 CODE ENFORCEMENT 0 PLANNING 0 ZONING 0 FIRE INSPECTOR 0 HIGHWAY D RECEIVER OF TAXES 0 RECREA nON 0 SUPERVISOR 0 TOWN CLERK 0 WATER/SEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER 0 TOWN ATTORNEY 0 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST ...~-~AP;""> _;' 0 .'--', 'IA.:' f~~" '.....:~,,' !~. ,.,. xc""'': '/0 '. . . ".~;P\ \'l.~'~~]>''' ,c'~'!.~' : .,1>.\. , . / .....,. "C'~ "" .'. t". . ,!.sj~~()~/ FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval: ~/.&llL AI&& (init) Date Applicant Contacted: I / Date FOIL fulfilled or denied: ~ 13 I / JL Closed by: tJ~A -8.1 .2l / l.L Date: Notes: --.de~ .fq~d -tn appil'UlJ.-I Amount Due: -12.. Pages for a total of $ --- Name: Address: Mon; qlJ~ R T.llCC; 1 ? '3 Ro!O:,:owoon Dr; ~7,:o w~pp;ngpr~ F~ll~, NV 1?~qO o check here if you are requesting that the records be mailed to this address. Agency or finn: Telephone #: (845 >-4...4..0..-7725 FAX #: (212 )",1-0-2-- 6630 Email address:mlucci1566@aol.com SPECIFIC DESCRIPTION OF RECORD: Pr~perty Deed '., I J~~.I 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 I request that the records be faxed to the number listed above //