017
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: O~/~I ~
FOIL Ser. #: 0/1-
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DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT j:J
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECENER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
II U( 12..
(init)
Date Applicant Contacted: -1. 1 ;11 ! ~
~ (;1..- 7- 12-
DateFOIL~ordenied: 2-1 ~I ~
Closed by: ~h
Date:
8-t / II~
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Amount Due:
Pages for a total of $
Notes:
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Name:
Address:
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FORMAT OF RECORD (if available)
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o 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