280
FOIL Ser. #:
Chris Masterson 0
Christine Fulton 2/
Sue Rose \ ~
&/:Jf/~ /
-WcP80 /
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEP ARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING let
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES J
RECREATION 0
SUPERVISOR J
TOWN CLERK J
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY fJ
Date Received:
FOR DEPARTMENT USE ONLY
Date Received by Dept &- / rJ'3:G/
Department Head approval: .
(ini
Date Applicant Contacted: 10 / d:l/ 11-
Date Fo@r denied: (D feLl f R
Closed by: i V
,
Date: !- 0 /D/ /1
Notes:
Amount Due:
/~
~r a total of $
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIF~~~ti~r1CO~:(SI'CrI(L4,J ;U,J;i( k~!'Jfl 'r
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