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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 G
Christine Fulton 0
Sue Rose ~
Date Received: -1/ <K / ~
FOIL Ser. #:
c9~ 7
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE 'ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREA nON 0
SUPERVlSOR 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:
/ /
(init)
Date Applicant Contacted:
---
/ /
Date FOIL fulfilled or denied: / /
-1l!i1IL
@)
Closed by:
Date:
---
/ /
Notes:
Agency or firm: _ ,5
Telephone#:(s/'i )-EkL- 5~'DJ FAX#: (3IQ)...RkL- 550u
Email address:~i..ltf)se.!l.Y)@ VY)f n"i,H. fe ~c:arch. c..
SPECIFIC DESCRIPTION OF RECORD: I . J /I \
-j~!O'1~JJ4tL~;;~lW~~~aJ-k ~nn p-at)
Amount Due:
Pages for a total of $
U check here if you are
requesting that the records
be mailed to this address.
FORMAT OF RECORD (if available)
[
o
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
)1
[1