282
Received by;
Chris Masterson 0
Christine Fulton 0
Sue Rose ~
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
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FOIL Ser. #:
DEPARTMENT:
ASSESSOR "@
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIG~AY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATEWSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval: .
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Date Applicant Contacted:
(init)
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Date FOIL fulfilled or denied: ItfC I _
Closed by: m=rzElYiD
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TOWI\TUF WAPPINGER
Notes: ASSESSOR'S OFFICE
Amount Due: 3- Pages for a total of$ ( ~
Name:Ko~n \ro~'O'3
Address: q, ~ - G- McU 1\ S \"
F',S'n\6\ 1\
Agency or firm: \ 0e \. ~\:-
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Telephone#: ('845) DGG- -10'-11., FAX#: (
Email address:
o check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC DESCRIPTION OF RECORD:
tx(')ty~1 Q.A-lC\ ~ 'To..\[~
FORMAT OF RECORD (if available)
o 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
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