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FOIL Ser. #:
Christine Fulton ~
Jessica. Fulton L;>
h..1~~Jf)..-
2009-1 ~16 JCM
TOWN OF.WAPPINGER
Application for Public Access to Records
/;tf FOIL REQUEST
FOR INTERNAL USE ONLY
~
Received by:
Date Received:
DEPARTMENT:
ASSESSOR L
ACCOUNTING ~
CODE ENFORCEM:ENT
PLANNING L
ZONlNG L
FIRE INSPECTOR. L
IDOHWAY L
RECEIVER. OF TAXES L ~. "
RECREATION L ,
SUPERVlSQR L
TOWN CLERK L
W ATERlSEWER L
DOG CONTROL OFFICER L
TOWN ENGINBER L
tOWN ATTORNEY L.
. .
. FOR. DEPARTMENT USE ONLY
Date Received by Dept ~ I ~
Departm.e.n~ Hea.d apProval: t&lil
Date Applicant Contacted: ;2j t( I 1(3-
Date Fo~rdenied:"S- I~
Closed by: . ~ .
Date: " . !;LI!J Jr
Notes:~e.." - ~LgJ
AJnount Due: _ Pages fot a. total of $
Name: .1 ('. i\ 1) ~ M~ E S G. 5Y6heck here if you are
Addtess: i~'~~ ~~G ~I;~ ""lue~ng thal,the records
__--~~ __ be ",aded to this address,
. Agency or fum: J:!l. I' ~ _ '. HtJ..,., UP
Telephone #: (,qS) ~- glott FAX #: (fl/sL.!:J:iA,w 8771
Email address:~~ti>I.Corh.r.I.jM
SPECIFIC DES RIPTIO:N OF ~CORQ: ....L. ' i' ~ ../I ""
I '. S .' _j7)_ II V\I]... 5 A I W, ldMJ()~ ~'i: I
.-:q \).~ I&..-f?-f I ~Ju. W i.I' ood.. Hit n or ClH'iJ..ovn in" ~Jns. -- ~
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FORMAT OF, RECORD (1~ll'1lliloble)' I
o I rrquest to be notified when I csn come to inspect the record(s) describek1 abo'Ve
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 ba.ck of this application
~ I request that the records be sent via e-ma.il to the a.ddress listed above
Cl I request that the 'records be faxed to the number listed above j
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