016
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Received by:
Christine Fulton D/
Jessica Fulton .a$
Date Received: -L I'di:) .J!:b.
FOIL Ser. #: Q\ ~
DEPARTMENT:
ASSESSOR
ACCOUNTING
CODE ENFORCEMENT
PLANNING
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES
RECREATION
SUPERVISOR
TOWN CLERK
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
o
o
o
o
o
o
o
o
o
V
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
I I
(init)
Date Applicant Contacted: 1.- I ~ a
Date FOIL fulfilled or denied: L;Jt.Y 12
Closed by: ~$;i~
Date: -L I ~ I Kl.
Notes:
Amount Due:
Pages for a total of $
Ad~:=' 11?~~1r~tLS;Alr
Agency or firm: e
Telephone #: (81.fS'") ~-13~#-. FAX #: ( )_-
Email address:
D check here if you are
requesting that the records
be mailed to this address.
SPECIFIC DESCRIPTION OF RECORDm ' t
. 1 n I.L (!!,.s
9~,
of 0a\1u..~~ijtfl~
FORMAT OF RECORD (if available)
D I request to be notified when I can come to inspect the record(s) described above
o 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