FOIL 55
Received by:
Christine Fulton "F/..
Jessica Fulton 0
2009-] 0-16 .rCM
TOWN ,OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received: l/~ I ?
FOIL Ser. #: tJ 5S
..' WA
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DEPARTMENT:
ASSESSOR 0
ACCOUNTmG 0
CODE ENFORCEMENT 0
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK ]l{
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARIMENT USE ONLY
Date Received by Dept
Department Head approval:
1 1
Name: Al\/C Ie.. .E.OYEi?mYLI~
Address: 1n7~ KovfE q, {'vi/41./
F;S~f:., Jl /I! tj I :J!!.:J 4
Agency or firm: ~ F
Telephone #: ('1''1 ) t/$':J - tOl3FAX #: (<;nl ).2iL.- 3'/ll:.
Email address: L . IE J/.d.rfh"111 l'orJ!'l
Date Applicant Contacted: _I _I _
Date FOIL fulfilled orB 2J~ I'd-
Closed by: @
Date: 3.J6&/ I'd .
Notes: t.m~J (fJO ROLOli',J3)
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Amount Due: .,L. Pages. for a total of $ ~
o check here if you are
requesting that the records
be mailed to this address,
SPECIFIC DESCRIPTION OF RECORD:
'~e- Br~jZ:~ ~~.. ~u ~rlTc.I4U'1? ~I inll"l,cFc (o('ckd tJn 'i/l';,.t.l/)~
1"7 /Ut&f2l'l'ZftG\ li2llr.
FORMAT OF RECORD (if available)
o I request to be notified when r can come to inspect the record(s) described above
C I request copies ofthe records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
~ I request that the records be sent via e~mail to the address listed above
o Trequest that the records be faxed to the number listed above