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023
Received by:
Christine Fulton 0
Jessica Fulton g
~/L/~
O~~
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
,.
FOR INTERNAL USE ONLY
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT '"i:>
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
Date Received:
FOIL Ser. #:
FOR DEPARTMENT USE ONLY
Date Received by Dept
Department Head approval:
/ /
(init)
Date Applicant Contacted:
/ /
Date FOIL fulfilled or denied:
/
/
Closed by:
~~1
JJ/ La.! to.
Date:
Notes:
Pages for a total of $
Amount Due:
Name:
Address:
o check here if you are
PJ(S requesting that the records
be mailed to this address.
Agency or firm:
Telephone #: (5/0 ).5!l.!6...-tlX;Lj FAX #: (6}c:').Ma- 413/ q
Email address:
SPECIFIC D~SkT)ON OF RECORD:
~p_ -I ~hed
FORMAT OF RECORD (if available)
I
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
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2009-10-16 JCM
FOR INTERNAL USE ONLY
Received by: Christine Fulton ^
Jessica Fulton
Date Received: ~~ / L / ~~
FOIL Ser. #: _
DEPARTMENT:
ASSESSOR ^
ACCOUNTING ^
CODE ENFORCEMENT
PLANNING ^
ZONING
FIRE INSPECTOR ^
HIGHWAY ^
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK ^
WATER/SEWER ^
DOG CONTROL OFFICER ^
TOWN ENGINEER ^
TOWN~ATTORNEY ^
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept a / ~ / ~ ~
Department Head approval:
(init)
Date Applicant Contacted: ~/ ~ / / ~
~,G(~. s_ ~ t ,Z k~
Date FOIL fu e e ~ d:' Nd ~''u ~3'`~+~-~
Closed by:
Date: ~ / ~ /
Notes: v
Amount Due: Pages for a total of $
Name:
Address:
^ check here if you are
~?~s requesting that the records
be mailed to this address.
Agency or firm: '
Telephone #: (~ /(p) - FAX #: (S J ~) ~- ~~
Email address: Rc
SPECIFIC DESCRIPT~ON~OF RECORD: FFe O 1 ?
~~
T~Ws,.~EpAp,-. _
~~NGFo~
FORMAT OF RECORD (if available)
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 faxed to the number listed above
i
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q cira-anae~ wile.the ~r~i~orr~r, o~ IF~~f'orr#i~at~ctri'Act {,F O.l. j,''
Public Off~'oers Laver Art~c ":~.:. '.~,',r,'•~'r.;,r, •. ,',:.: ,••r ti•_ ~•n`,;.; , .
rovrsiaris of thfs article;'
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wifhin five business day's ~~fth.~ reCeipt~o~a~ `t~'eri~e ~`~'~~ ,.. "-~~
inrn qu~s far a' record reasoriabl~ ' .,.
described, sha11 m ~'~• ::. ~:.,•' ~ y~ .w<. , .r.r }~:•:::a..•.~.:::o-,'::~_~<:, J .
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'i le ~o ~t~i~* per~soi~i'ejt~es#~ti~ it deny suc ° ,~~, :'.- ~-'"~`=: ~' •' F::.
request in wrifing or fumish'a v`VriftcPi ac~~iotrvlcdgeriarit'gf t~~°recelp#' of such request
and a s#afemen# ofthe approximate da#~; which;"sfisll.~e'~~sorra,~le'ufder.-,: ~~
circumstances of the reques#, wfieri such requ~~f.~willbe•g-~n~edvor,cfern~d:•;An Agency .
sha11 not deny a request on the basic that'the r~qu~st;.s:,vofuminous'or fhat lcca#ing yr
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reviewing the requested records bi' provtdfng t1;e requests ,..copes rs burdensome
because the agency /asks sutiicienf s#a~n ~ •'~~°-~"~~~ ~ •
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