080
Received by:
Christine Fulton !8f
Jessica 'Fulton 0
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2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Acc.ess to Records
FOIL REQUEST
FOR INTERNAL USE ONLY
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FOIL Ser. #.:
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Date Received:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING ~
CODE ENFORCEMENT J::
PL~G 0
ZONING 0
FIRE INSPECTOR 0
IDORWAY 0
RECEIVER OF TAXES 0
RECREATION 0
'SUPERVISOR 0
TOWN.CLERK 0
WATER/SEWER \{3\
DOG.CONTROL OFFICER tJ
TOWN ENGINEER 0
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
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(init)
Date Applicant Contacted: j-- / ,;) J / / d-.
Date FO~ denied: 5//!..1 / /.2
Closed by; /( cf-
Date Received by Dept
Department Headapprova1:
Date:
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Notes:
Name.:
Address:
Amount Due:
Pages for a.total of'S .
CLc..o
Agency or firm:
Telephone#: (fc,Ltle) 2..\..(.D- \\"2..Y FAX#: ( )
Email address: FU.V\.~~ '5 (l QO \ ~ c eY\'\
o check here if you are
requesting that the rec~rds
be mailed to this address.
(Pls7- 0</- 6 200/ 6
FORMAT OF RECORD (if.available)
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 ofthis application
o 1 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