272
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
Received by: Chris Masterson 0
Christine Fulton 0
Sue Rose 1Y"
Date Received: / 0 I / r / 11-
FOIL Ser. #:
1!/)7{).
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DEP ARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
FOR DEPARTMENT USE.ONi. Y
!Q.1!f11!
Date Received by Dept
Department Head approval:
FIRE INSPECTOR 0
ffiGHWAY 0
RECEIVER OF TAXES 0..
RECREATION 0 ,
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER fr
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN A TIORNEY 0
Date Applicant Contacted:
-
(init)
I I
---
Date FOIL fulfilled or denied: I I
--
Closed by:
D~e: ~/lfT~
Notes:.Aft' ~ ,dV..ah
Amount Due: Pages for a total of $
FORMAT OF RECORD (if available)
~
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 he faxed to the number listed above
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