022
01/31/2012 11:32 FAX 8454514214
Section 8 Housing Poughk
IaJ 002
RECEIVED 1
JAN 3 0 2012 \\~
BUILDING DEPARTMENT
Received by:
Christine Fulton 1i
Jessica 'Fulton G~
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REOUEST
FOR INTERNAL USE ONLY
DEPARTMENT:
ASSESSOR [l
ACCOUNTING 0
CODE ENFORCEMENT ~
PL~O 0
ZONING rJ
FIRE INSPECTOR rJ
HIGHWAY Ll
RECEJVEROF TAXES Il
RECREATION rJ
SUPERV1SOR 0
TOWN CLERK [1
WATER/SEWER rJ
DOG CONTROL OfFICER []
TOWN ENGINEER [I
TOWN A TIORNEY
FOR DEPARTMENT USE ONt Y
Date Received: L I ?lJ. / J..a.
FOIL Ser. #: If) a do
Date Received by Dept
Department Head approval:
I I
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-
(init)
Date Applicant Contacted:
-~-
I I
Date F01L fulfilled or denied: I /
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SP~lFlC DESCRIPTION OF RECORD:
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- -- .--
FORMAT OF RECORD (if available)
[1 1 request to be notified when I can come to inspect the record( s) described above
;fit:.. 1 request copies of"'. ~ d....ibed above and agree to pay tbe cost of 8IIOh records in
accordance with the fee schedule on tbe back of this application
[ request that the records be sent via e-mail to the address listed above
[I 1 request that the records be faxed to the number listed above