303
FROM :G.SIRINAKIS ARCHITECT
bt
FAX NO. :914-939-1612
Nov. 30 2011 12:22PM Pi
9lJ r ";)q r -/4 t~
2009-1O-16.reM
TOWN OF WAPPINGER
Application for Pub1i.c Access to Records
FOIL REQUEST
fOR INTERNAL USE ONLY
Received by;
Chri~ Masterson n
Christine Fulton 0
Sue Rose
LLIJLI J.L
l36 3__
o~ WAP~
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('55 - CO-.)+
Date Received:
FOIL Ser. #:
DKP ARTMENT:
ASSESSOR U
ACCOUNTING IJ
1._,1/'
CODE ENFORCEMENT Fi1"
PLANNING [I
ZONING LI
FIRE INSPECTOR 11
HIGHWAY U
RECEIVER OF TAXES []
RECREATION 0
SUPERVISOR [1
TOWN CLERK [J
W ATERJSEWER U
DOG CONTROL OFFICER 0
TOWN ENGINEER 1J
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept /2. I 3 III
De,partment Head appnwul: - NG-
(init)
E-l(lft~
Date Applicant Contacted: L2J S; //
Date F II:' fulfilled or denied: I Z- / ~ I II
Closed by:}-; 'J
Date: U I ~ }'~~Y; / ;2/ !L /!L
Notes: 11- 't" ~~f
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Amount Due: Paties for a total of $
uC-
Name:
Address:
~heck here jf you are
requesting that the record$
be mailed to this address.
FORMAT OF RECORD (ifavailuble) I
o , I request to be notified when [ca I come to inspcctthe reoord(s) described above
I request copies of the rocords de~ribed above and agree to pay the cost of such records in
. / accordance w.ith the fee schedule n the back of this application
V 1 request that thc records he sent ia e-mail to the address listed above
[I I request that the records be faxe to the number 1i~ted above