273
OCT/18/2011/TUE 10:07 AM
FAX No.
P. 002
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
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Received by: Chris Masterson 0
Christine Fulton 0
Sue Rose ~
Date Received: /..1L / .Jk- / .J.L
FOILSer.#: # @73
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING it
ZONING ~
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0..
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER j(... - ;).7.3
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN A TIORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept J.Q / K / ~
Department Head approval:
Date Applicant Contacted:
(init)
/ /
Date FOIL fulfilled or denied: _ / _ / _
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Date: 1!2/ .f?/ ~
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Amount ue: Pages for a total of $ (
Closed by:
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FORMAT OF RECORD (if available)
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I request to be notified when I can COme to inspect the record(s) described above
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
I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above