253
FOIL Ser. #:
Chris Masterson 0
Christine Fulton 'S
Sue Rose 0
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~5
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR I
ACCOUNTING 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
Date Received:
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
.!l) ~ / -1L
~
(init)
Date Applicant Contacted:
/ /
Date FOIL fulfilled or denied: ~ / ~ / iL
Date:
tJf4A
~/d-l/JL
Closed by:
Notes:
Amount Due: ~ Pages for a total of$ (j./~
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o check here if you are
requesting that the records
be mailed to this address.
FAX #: (
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SPECIFIC DESCRIPTION OF RECORD: /J
De.~J t-o fr6~ l;t~ CurV'Y KJ ,OJ4rr'~~V'sFJ/~
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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