069
Apr. 18. 2012 8:50AM
No. 3686 P. 2
Received by:
Christine Fulton 0
Jessica Fulton :E{
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR INTERNAL USE ONt Y
Date Received:
~ WAP
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FOIL Ser. #:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING 0
ZONING U
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 ONt Y
Date Received by Dept L / /8/ / L
Department Head approval: --.1::ItE-
(init)
Date Applicant Contacted: . d 1 /81 / Z--
Date F~lfd~denied: :L 11.f I (2-
Closed by: H u:-
Date: -1 I /R II 'L.-
Notes:
Amount Due: _ Pages for a total of $
Name: Chdstil11\ Zolezi
Address: 25 CozpOftte P-;.dc DAive, Suite C
HopeweU]unction. NY 12533
Agency or finn: POVII/l Engineerin,r
Telephone#: ( 845 )~~ 8205 FAX#: (8.5
Email addresS:chcisd..ltz@povaUengineering.com
U check here if you are
requesting that the records
be mailed to this address.
) ~R 0042
SPECIFIC DESCRIPTION OF RECORD:
~ COP}' of the cettificsl'e of occupllnqr for the single funiI)' home loCltted at 8 Glenbcook Court cra.." Pucel #6258-01-415945).
FORMAT OF RECORD (if available) .
o I request to be notified when I can come to inspect the record(s) described above
n 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
~ I request that the records be faxed to the number listed above