262
~
FOIL Ser. #:
Chris Masterson 0
Christine Fulton ~
jue Rose 0
o /OE / .-!.i.-
;:)LQ~
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
Date Received:
. ~ ~APp
. ~. ~,. -"-.~:".'~.-\
~/ . ,_;-.t;'~,
'0 ' . \ .,.
...: . \,'
_..~\..~.'
... ' I . I
c::.~ . .j'Z:
~C" "..'
:t.' . ,.t- .
"'T('ss-co.v'"
DEPARTMENT:
ASSESSOR ('@
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHNVAY 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
Department Head approval:
/0 / ~/!.!-
Date Applicant Contacted:
(init)
~/~/!L
Date FOIL fulfilled or denied: Ie) / 5' / 0-
Closed by: C H.
Date:
IO/~/lL
Notes:
Amount Due: 3- Pages for a total of $ /
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: (
Email address:
FAX#: ( )_-
\ h u q, ~
SPECIFIC DESCRIPTION ,OF RECORD:
~a)( '(II'!J. 'P /Vo. /'5) ~ 0 '7 r (p 0)" ~.- o'Z. - 7 D 7 %70 - 0 () 60
. '~;j "".I\.J. ftq]) ~~,
FORMAT OF RECORD (if available)
o 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
o I request that the records be sent via e-mail to the address listed above
o I request that the records be faxed to the number listed above