010
From: R. P . Hubbe II and Company, I nc.
8454546359
01/10/2012 15:09
#038 P.001/001
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Received by:
Christine Fulton ~
Jessica Fulton 0
2009~10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received: V' / 1 J D 1.tQ..
FOIL Ser. #: 010
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DEPARTMENT:
ASSESSOR ~
ACCOUNTING []
CODE ENFORCEMENT 0
PLANNTING 0
ZONTING []
FIRE TINSPECTOR 0
HIGHWAY []
RECEIVER OF TAXES []
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGTINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
-11 J11.1 ~
.1lidr
(init)
Date Applicant Contacted:
1 1
Date FOIL fulfilled or denied: 1-1.w-1 ~
Closed by:
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Dme: ~/LQI I~
Notes: ft'l)~ 14, c.. et.rd. ..f.v~:ed
Amount Due:
Pages for a total of $
Name: G,r o..,...\- I~ C Y.....e r \1
Address: l' d \,'.) !'^ t;.,^ <; +-
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Agency or firm: p.. . 11 vI, ~~ I ':/' co.
Telephone #: (~4'S" Y1~- t,s-~'S'"" FAX #: ( ).l-/~4 - ,;~ 5'""
Email address:tl^....:Qr....\-ll4rl:)J.....l..h.c C,; ^""
o check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC DESCRIPTION OF R~RD: , . . I
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FORMAT OF RECORD (if available)
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I request to be notified when I can come to inspect the record(s) described above
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
I request that the records be sent via e~mail to the address listed above C) R..
I request that the records be faxed to the number listed above ~
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