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294 FOIL Ser. #: Chris Masterson 0 Christine Fulton 0 Sue Rose ~ /' lLldlR- j/ f c{)9 c; 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records FOIL REQUEST FOR INTERNAL USE ONLY Received by: DEPARTMENT: ASSESSOR ACCOUNTING CODE ENFORCEMENT PLANNING ZONING FIRE INSPECTOR HIGHWAY RECEIVER OF TAXES RECREATION SUPERVISOR TOWN CLERK W A TERlSEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER 0 TOWN ATTORNEY 0 ~ ~APp . ~.'~' ,v ~,",!,+. , ~ / .,- ;,~.#>., ,o:''''~ ..... . 1::; .' \~ C-~}Z <A.' . .. /..lo.." (' , , . ,...... Jt('ss "co~~ Date Received: FOR DEP ARTMENT USE ONLY Date Received by Dept Department Head approval: !lldl II ~ Date Applicant Contacted: .!..1 I d... I !.L- Ied or denied: 11 I !.11 1/ ;Ju- LLI 111 JL Notes: Amount Due: '_ Pages for a total of $ o check here if you are requesting that the records be mailed to this address. FORMAT OF RECORD (if available) 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 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