250
SEP-07-2011 17:22 From:THE CHAZEN COMPANIES 8454544026
To: 8452977214
P.2/2
'I-
II
II
1"1 .
U
o
II
! I
1 !
o
o
II
2009-10-16 JCM
TOWN OF W.AP"P.lNGER
Application for Public Acc~ss t~OI'ds
FOIL REQUEST \9~~o
~U'
. , . ~ 0'6- '~
~ ~o~
~ \Yo~
/' ~~
.~ %>, ~o~
'i) (f' ~
~.~
~ ~R DEPARTMENT USE ONLY ,<
Date Received by Dept .!l / ;a / 1L
Depmtment Hcad approval: .J.l2.ir
(init)
~~
Date Applicant <":ontacte~ ~ / /
~~ --
Date FOIL fulfilled or tlenie~<h / "I'
o ~ ~t(~~.
Closed by: ~ t9
~ ~ 1\v'
DatI.:: \YO ~ q ~
(Jl ~
N()ll~:'; ~ __.' ~ ~
t; --4 d!;
AIHnllnl Om:: k I'agt;s for ~ILOla~Of'B{ ~
""1 check here i [' y m: cJ>
request.ing that t C records
be mailed to thi:; uddl'e~~.
FOR INTERNAL USE ONL,Y
Chris Masterson VI..
Christine Fulton
! ~l-/ 11-
_1~ ~
...~~
Name: LJ. ( ( 0 Is e-..
^,Idre~s: ~ ( Q)>c .,S'\.re.e!...
. Po~~/"'~.1..e No( ,'-t"O ,
Agcncyorfirm:_1"l- [4 ~ tOt"O~"(l
Telephone #: (~'<o; ) 'yS'''t_._~_'~O FAX #: (Q,"f$") 4.t;'''1 -I.i02~
Email address:wolsV\~d..A....l<-\(o~..er.(...o....
Received by:
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
7.0NING
FIRE INSPECTOR
(1IGllWAY
RECElVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
W A'n~R/SEWER
DO(i CONTIWI. OrFlCFR
IOWN ENeiINI..:m
TOWN ATrORNEY
[J
&:ref! ( ~
J. (t~ Jt..bl-I' t>.,.,.
FORMAT OF RECORD (ifavailablc)
~ 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 teeord!> in
accordance with the fee schedule on the back of this application
U I request that the records be sent via e-mail to the address listcd above
n [ request that the rl.:curd~ be faxed to the number listed above
r~~~l- _ ~1n J}~W\
If/a,)JII L\ M ~/I'Y'\
9~dl- V</J~ I jJ IA' 1)/YY'kL ~
. ..., ......, ..... ...~.'"'' ........ ".'