251
Date Received:
Chris Masterson
Christine Fulton
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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 [Y'
ACCOUNTmG 0
CODE ENFORCEMENT 0
PLANNING 0
ZONmG 0
FIRE INSPECTOR 0
HIGHNVAY 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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FOIL Ser. #:
FOR DEPARTMENT USE ONLY
Date Applicant Contacted:
-9- / .IS.. / J.L
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(init)
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Date Received by Dept
Department Head approval:
Date FOIL fulfilled or denied: ~ / f S- / J.L
Closed by:
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Date:
Notes:
Amount Due: -3- Pages for a total ofS tt)~
o check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC DESCRIPTION OF RECORD:
,y'O.~d.-\.:J rC\{C
FORMAT OF RECORD (if available)
o I request to be notified when I can come to inspect the record( s) described above
g' 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