062
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Christine Fulton (i{
Jessica Fulton 0
Date Received: 04 / /0/ I?-
FOIL Ser. #: 0 Lo I
Received by:
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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
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Date Applicant Contacted: d / I 0 / ( L-
DateFO~enied: -1/ltJ / / L-
Closed by: q 6-
Date: ::L. / / () / / 2-
Notes: ~ Co~ ::: tr.z s--
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Date Received by Dept
Department Head approval:
Name: rz:iL
Address: ~ ~ ~P'l.se J",,~
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Agency or firm: h~
Telephone#: (<?fr)~ - /9'('1 FAX#: (
Email a.ddre$s:
Amount Due:
Pages for a total of $
o check here if you are
requesting that the records
be mailed to this address.
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FORMAT OF RECORD (if available)
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
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