248
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
Sue Rose p.-~
Date Received: 51- / ...L /.1.L '-'
FOIL Ser. #:
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DEPARTMENT:
ASSESSOR Yo
ACCOUNTING
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIG~AY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK. 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEP ARTMENT USE ONLY
Date Received by Dept RECEIVe~
Department Head approval: ~
SEP (} U (lmt)
DINGER
Date Applicant ContactedfOW~/WAP~E
ASSESSOltS
Date FOIL fulfilled or denied: / /
Closed by:
RECEIVED !?13
SEP 0 6 ~Oll /
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Date:
Notes:
TOWN OF WAPPINGER
ASSC~SORJS OFFICE
Pages for a total of $
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: (
Email address:
,
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FAX #: (
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SPECIFIC DESCRIPTION OF ~RD:
ctl'i i ~rY~
FORMAT OF RECORD (if available)
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I request to be notified when I can come to inspect the record(s) described above
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
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