024
Received by:
Christine Fulton 0
Jessica Fulton K
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
Date Received:
FOIL Ser. #:
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DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT :iT
PLANNING 0 .
ZONING 0
FIRE INSPECTOR 0
illGHWAY 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
Department Head approval:
/ /
Date Applicant Contacted:
(init)
1 /
---
Date FOIL fulfilled or denied:~ I
Closed by:
Date: -# c2 1,9 I /c2
Notes: O~ JlM}I..e.uJJ
Amount Due: _ Pages for a total of $
Name:
Address:
o check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC DESCRIPTION O[ RECORD: -n
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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 .
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