243
Date Received:
Chris Masterson
Christine Fulton
Sue Rose
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT g'
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERlSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
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FOIL Ser. #:
FOR DEPARTMENT USE ONLY
Date Received by Dept cj 1 ~ 1 1/
Department Head approval:
(init)
Date Applicant Contacted: .-!l 1 1/;1 . /!
Date FOI(fi1I~r denied: -5 L / I!
Closed by: '-,--/ q r I - II
Date: 31 LI /1
Notes: ~
Amount DuII.lLJ! ~Zes ~t~a1 of $ I (J ~
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: (%l{<"") ~16 - [(?9 J- FAX #: (
Email address: I? i 11.s rvt.,..,' I CCl? 0 rh.... / ,"vw. I ......d-
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SPECIFIC DESCRIPTION OF RECORD:
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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
!SY' 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
r---.