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FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Masterson 0
Christine Fulton 0
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Date Received: /dL/ -1L
FOIL Ser. #: ::/;fi..'7 'y' h
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DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT '--w--
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGBNVAY 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
Name:
Address: I cA u- f'C.. b ()
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Agency or firm: '
Telephone#: (g~ )2a7 -67-7) FAX#: (
Email address: f
o check here if you are
requesting that the records
be mailed to this address.
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SPECIF53lC~ ~CORD: . a
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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 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