038
FOR INTERNAL USE ONLY
Received by:
Christine Fulton y
Jessica Fulton ~
Date Received:
f).. / PA / J2.
ofb~
FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT J(
PLANNING 0
ZONING 0
FIRE INSPECTOR 0
HIGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR 0
TOWN CLERK 0
W A TERJSEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY 0
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
RECEIVED
FEB 22 20f.
SUILDIN r;
TOWN O~ ~PARTME',A""
'APPINGER'
FOR DEPARTMENT USE ONt Y
Date Received by Dept --Z-I- ~
Department Head approval:
(init)
Date Applicant Contacted: 1-/?:2/ i.b
DateFO~~rdenied: 2-1Z~/ I L
Closed by: ~;f;)
/
Date: 2-;. 2-1/ /2-
---
Notes: NO f bw r.J VJ;),OVI..
Amount Due: _ Pages for a total of $
Name: Erick Bohm
Address: 700 Automation Drive, Unit F, Windsor, CO 80550
o check here if you are
requesting that the records
be mailed to this address.
Agency or firm: Code Violation Services, Inc.
Telephone #: (970 ) ~- 6710 FAX #: (866 ) ~_ 5104
Email address:
SPECIFIC DESCRIPTION OF RECORD:
~Iease provide a detailed description of any active code violations and the amount of money currently due for an violations
for property address 2 Lakesdle Road (APN: 135689.6158.02.673660.0000, Property Owner: Menconerl, Ray ond A.).
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 faxed to the number listed above
o
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