252 (2)
FOIL Ser. #:
Chris Masterson 0
Christine Fulton 0
s~e Rose \Or
1&11L 6
1P-QJ6c2
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
DEPARTMENT: ~
ASSESSOR OJ
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
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
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Date Received:
FORDEPAR~~SEONLY
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Date Received by Ntl5t (. ~I - 1 -
Department Head ap~a'\: \J ~.
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Date Applicant C~~O~ _ 1 _ 1 _
Date FOIL fulfilled or denied: / I
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Closed by:
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Name: T L '/ .It{ S H A tl t -
Address: ~ 1tfL;.r;;;~ z".'ll ~fj~
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Agency or finn: (
Telephone #: (~)) b.3v 2--"2..-3.DFAX #: ( )--
Email address:
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ges for a total of $
o check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORD:
6D P"B 1- )}V-{'
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record(s) described above
".5/ 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