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287 FOR INTERNAL USE ONLY Received by: Chris Masterson 0 Christine Fulton 0 Sue Rose '-D JL/~/LLO ~ Date Received: FOIL Ser. #: DEPARTMENT: ASSESSOR 0 ACCOUNTING 0 CODE ENFORCEMENT 0 PLANNING 0 ZONING 0 FIRE INSPECTOR 0 HIGHWAY 0 RECEIVER OF TAXES 0 RECREATION 0 SUPERVISOR ~ - B~7 TOWN CLERK ~ W A TERlSEWER 0 DOG CONTROL OFFICER 0 TOWN ENGINEER ~ TOWN A TIORNEY 4lJi Name: Address: Agency or firm: Telephone #: (~~~ Email address: SPECIFIC DESCRIPTION OF RECORD: 2009-10-16 JCM l~ WNOFWAPPINGER fR1 ~~~ Pri ic Access to Records ~IbU 'l/PiHL QUEST NOV 04 20" OWN OF WAPPIN TOWN CLER Y,IAPI>, ~~"~"~~.,+~ , $/ " ." ~~, ."',' , l~1 "" -';:::::::;;::F} z, .. o. ", ~... ,!.4.: c:-....~;,. ~ C'~i.ss" co~ FOR DEPARTMENT USE ONLY Date Received by Dept Deparbnent Head approval: II / 'f / II --W Date Applicant Contacted: .3..- / -2/ .!.!- Date FOIL fulfilled or denied: !.!.- / 2- / I ( {j) Closed. by: Date: / / Notes: .~ ~ 11/7/11 ,1/:2{lfhn:. ~ ~ ((:4"'" ~ ~ ~ ~ /~, 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