267
FOIL Ser. #:
Chris Masterson 0
Christine Fulton ~.
S}tfl Rose 0
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for'Puplic Acpe..ss to Records
FOIL REQUEST
..
EOR INTERNAL USE ONLY
Received ~y:
Date Received:
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DEPARTMENT:
ASSESSOR 0
ACCOUNTrnG 0
CODE ENFORCEMENT g/
PLANNING g/
ZONrnG 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 ATIORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept I 0 1 !.1... / !!-
Department Head approval: .1::fJi::.
. (init)
Date Applicant Contacted: L!!...I / 6 1 J.L
Date ~ denied:L!!.-1 al II
Closed by: lit-
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Notes: (5 -
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Amount Due: Pages for a total of$
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Name: :To 1, ,,_ () l ~ \ H'J01I
Address: [ ~ '2.) ~ "" ~ \Y
LCrr'~8~ 111tL .' tJ-f (7. 01n
Agency or firm: Hrl/1 ~ (au.""" t1 - fLuvt ~~ -
Telephone #: CC[LL/ )::J::iJ-.- ~~ 1 FAX#: (~f ) ~- 'I 77Lf.
Entail address: :TO I; \rl'.I/'a.@ !-l ou I i 1'1411 1-0... LVf'en ce . c~ ""
o checkhere if you are:
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
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(P;?o 7-0rJ- -7S-S'j/--:J
FORMAT OF RECORD (if available)
~ I request to be notified when I can come to inspect tberecord(s) described above
o I request copies oftbe 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 f>omail to the address listed above
W I request that the records be faxed to the number listed above