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FOR INTERNAL USE ONLY
Received by:
Chris Masterson
Christine Fulton
Sue Rose
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Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT 0
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FIRE INSPECTOR 0
IDGHWAY 0
RECEIVER OF TAXES 0.,
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER .i'
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN A TIORNEY 0
FAX No.
p, 002
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
RECEIVED
OCT 1 8 2011
PLANNING D
TOWN OF :PAFlTMENT
APPINGER
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FOR DEPARTMENT USE.ONLY
Date Received by Dept aliLl J.L
Department Head approval: -LfL)
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/111'
Date Applicant Contacted: -.& I J.!JI JL <<(Jo
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Date Fo~or denied: /0 I ;;~ !!..-
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Closed by: A ~
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Date: .L!ll ~ II
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Amount Due: Pages for a total of $
SPECIFIC DESqIPTION OF RECORD: ~
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FORMAT OF RECORD (if available)
I request to be notified when I can come to inspect the record(s) described above
J 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
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