018
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Received by:
Christine Fulton 0
Jessica Fulton ~
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01<6
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
"-OJ<:)
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 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
FOR DEPARTMENT USE ONLY
Date Received by Dept L lLI /2-
Department Head approval:
Date Applicant Contacted:
(init)
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Closed by:
MAR 0 1 2012
Date:
OWN OF WAPPINGER
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Amount Due:
Pages for a total of $
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
Agency or fIrm:
Telephone #: (P Yr") /-rJ<-- ;;-Y?/ FAX #: (
Email address:
)--
- tDL....
FORMAT OF RECORD (if available)
o
o
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
I request that the records be faxe to the number. isted above
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)jld~
'1'tJ
Received by:
Christine Fulton 0
Jessica Fulton ~
-L/g;/~
01t
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 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
FOR DEPARTMENT USE ONLY
Date Received by Dept 21 /5/ i..tAf)t
Department Head approval:
(init)
Date Applicant Contacted: d- 1 fSj I L
Date FO~ or denied: c?--~L
Closed by: .
Date:
dl/Si"LL
Notes:
Name:
Address:
Amount Due:
Pages for a total of $
4-
Agency or firm: .J 'fy/ '4 .
Telephone #: (Pr'(j ?-rJ<.-- S-V PI FAX #: (
Email address:
o check here if you are
requesting that the records
be mailed to this address.
)--
- () 2..:'
FORMAT OF RECORD (if available)
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