291
FOR INTERNAL USE ONLY
Received by:
Chris Masterson 0
Christine Fulton 0
Sue Rose 2P
L 1.1-1 -'.L
91 c29 /
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTrnG 0
CODE ENFORCEMENT " -- 0271 .
PLANNING 0
ZONING ,.
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION Dty~
SUPERVISOR jJ CStvs;
TOWN CLERK Ii&, ''[5' Y' 0 'D
WATER/SEWER ?"o~~~a {lOll
-vo.;.. ~,()
DOG CONTROL OFFICER u ~J;J~Iy?"4?~
TOWN ENGINEER 0 r~Gc~
TOWN ATTORNEY 0
Name:
Address:
George Kolb
7 LaIIIn Ave.
Wappinger. Fl.!'IV 12590
FORMAT OF RECORD (if available)
2009-]0-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
fPa~~~a,#~[Q)
NOV 0 4 2011
WN OF WAPPING
T
1L1:'-1 LL
'(1j)
Date Applicant Contacted: 111 !::L I .J..L..
1 /--& I-I I
Date FOIL fulfilled or denied: _I _I _
Closed by: ) c..A4:b J.e..Jo r=;
Date: r J- I;' [ ! I I
~ to ---
Notes: \ / I~-;}-/I (QP'.,J FftXM Sc~
Date Received by Dept
Department Head approval:
Amount Due:
o check here if you are
requesting that the records
be mailed to this address.
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,.-
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I request to be notified when J 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 ofthis 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