274
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by; Chris Masterson 0
Christine Fulton 0
Sue Rose 0
Date Received: 10 II g I.J.J....
FOIL Ser. #: 7/ fJ/t(
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DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT gI'
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W ATERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEP ARTMENT USE ONLY
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(init)
Date Applicant Contacted: ..J1. I;z{) I i.L-
Date FO~ denied: / 0 1 La 1 (' ('
Closedby: h .~ 1-1 ~
Date: N~ 1-
Notes: ~
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Date Received by Dept
Department Head approval:
Amount Due:
Pages for a total ofS
Nmne: f~ ~ ~~Qn SD ~
Address: 11 '5 0- - ~ I t\~~.e.. ~;:, <f
Agency or firm:
Telephone#:(8'l.{5) lR~'- lctDJ FAX#: ( )_-
Email address:
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
iLl. Silvia. 'Dr. WClppif\~ +o..\lsJ 0\J.'f. I~-Sq(')
C...t~.c.X.i ("\.:) 5o..rv~
FORMAT OF RECORD (if available)
o I request to be notified when 1 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 1 request that the records be sent via e-mail to the address listed above
o 1 request that the records be faxed to the number listed above