259
Received by:
Chris Masterson 0
Christine Fulton ~
f~e ~'J1 / iL 0
d~tf
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
, o~ V!.~p.,
'~~" ',',-.,."'1;"
~,l ,- ~,~'
',I- ,~,
o'~' \~
c' ,,}~:
.A' ,/.., ,
C' ' ',' A.. '
.;t,~,._ ,,'->"
7"SS"co~'\""
FOIL Ser. #:
DEPARTMENT: \.L
ASSESSOR ~
ACCOUNTING 0
CODE ENFORCEMENT 0
. PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIG~AY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY []
FOR DEPARTMENT USE ONL~
Date Received by Dept
Department Head approval:
uL / .!::i / .!..L
~
(init)
/ /
Date Applicant Contacted:
Date FOIL fulfilled or denied: Ji2. / ...!:t.. / 1.l..-.
Closed by:
1J (LA
~/i/LL-
Date:
Notes:
Amount Due: ~ Pages for a total of $ t). $"Z)
Name:
Address:
o check here if you are
requesting that the records
SPE(~tr~TIONOFRECORD: /i;rz. 87~b rA"ILs f-i-
IAfc Pi ~ (fJj;!1 tJS9.D
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record( s) described above
o 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
/-