312
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose dr
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#6/;1
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
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FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENEROFTAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
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(init)
Date Applicant Contacted: tr / / ~ / ~
Date FOI~r denied: / Z- / /~ / I (
Closed by: - I/(j M
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Date: /1,. / & / /1
Date Received by Dept
Department Head approval:
Notes:
Amount Due: -<<fL Pages for a total of $ S--g2...
Name
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
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