288
FOR INTERNAL USE ONLY
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Christine Fulton 0
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Received by:
Date Received:
FOIL S~. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECENER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER ~
TOWN ATTORNEY ..
Name:
Address:
Agency or firm:
Telephone #: (<i~~
Email address:
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2009-10-16 JCM
1c1 WN OF WAPPINGER
1R1~~~ PU ic Access to Records
~LSU 'l!./PfHL QUEST
NOVO ~ 2011
OWN OF WAPPIN
TOWN .CLER
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FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
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(init)
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Date Applicant Contacted:
---
Date FOIL fulfilled or denied: _I _I
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Closed by:
Date:
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Notes: ho ~O.~ t4N~ Ar)\.~\)'X~e
Amount Due: _ Pages for a total of S
George Kolb
7 LoftIn Ave.
W8JlPlngers Fls I'tV 12590
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OF RECORD (if available)
~ 1 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