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FOR INTERNAL USE ONLY
Received by:
Date Received:
FOIL Ser. #:
DEPARTMENT:
ASSESSOR ~
ACCOUNTING 0
CODE ENFORCEM>wNx C7
PLANMNG l~
ZONING I~
FIRE INSPECTOR ^
HIGHWAY 0 ~'
RECEYVER OF TAXES
RECREATION ^
SUPERVISOR ^
TOWN CLERK 1~ .
WATER/SEWER
DOG CONTROL OFFICER L1 '~~
TOWN ENGINEER
TOWN ATTORNEY CJ
Christine Fulton
Jessica Fulton
Co /~/~ °,
2009-10-1 b JCM
TOWN OF WA~'P~NGER
Application far Public Access to Records
FOIL .~Q UEST
~a.~c$~I5~24$-iN7t
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ I Z~ / ~ Z
Department Head approval:
Date Applicant Contacted: ~ fl ~ / ~ Z-
Date FOIL fulfilled or derai G l~ l i L
Closed by:
Date:
w/ ~
Cv I ~Z~I _~
Notes:
Arnaunt Due: ~, Pages for a total of $
Name: MQ,\;~6;a~'"@~,n ~ z. CJ ckteclc b~ere if you are
Address:l~ "Dav;~ kr-~ , requestiaag that the records
Po,~~1, ~,~;.t , ~ ~{ 1'~(,6~3 be mailed to this address.
Agency or firm~:~~~- • t S
q'elep)aone #: (9+K ~S Z - !v 5 ~ AX #: (8 +t5 ) ~S - d 9 3
Email address: tie 1:ss, e.,. !.D .e c~ ., S4~a,...rs S~ raa,r ~: e~S - ~ o'""`
..FORMAT OF RECORD (if available)__
~ 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
0 I request that the records be semt via a-mail to the address listed above
^ I request that the records be faxed to the number listed above
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~'RANSMITTAL COVER SHEET
TO: Records Access Officer PAGES: 2 {including cover sheet)
FAX: 845 298147$
FROM: Melit3sia PentZ; Ecosystems Strategies
DATE: June 28, 2012
RE: FOIL
ES! Job Number: CW12115
COMMENTS:
Please see attached far FOIL request-
cc: File
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