030?009-10-16 JCM
FOR INTERNAL USE ONLY
Received by: Christine Fulton
Jessica Fulton
Date Received: ~/ ~ / ~~
FOIL Ser. #: ~~~
DEPARTMENT:
ASSESSOR
ACCOUNTING ^
CODE ENFORCEMENT ^
PLANNING ^
ZONING ^
FIRE INSPECTOR ^
HIGHWAY ^
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK ^
WATER/SEWER ^
DOG CONTROL OFFICER ^
TOWN ENGINEER ^
TOWN ATTORNEY ^
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
~~,
-~
~ ~
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ C~~ 1
Department Head approval:
(init)
Date Applicant Contacted: ~/ ~ ~ ~
Date FOIL fulfilled or denied:
Closed by:
.~~~~~ 3
Date:
/ /
Notes: ~ Ct-D fiLV1, ~LhU~~~(~
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Amount Due: Pages for a total of $ ~
Name: h!1 ~ C ~-, ~ r-_ L j ~uCiU~, r L ~.- ^~-check here if you are
Address: (~ Yin ~ ~ 'Lcv? L1 ~ L i.,,. ~ -.- P~S~~~ requesting that the records
lAi~l~ )~G-j=-~2 ~' T= t-~--Z. lU_;`. be mailed to this address.
Agency or firm:
Telephone #: ~4S ) 2 ~ ;~ - ~D ~~ FAX #: ( ) -
Email address: ~n~ i~ H ~~~ ~. _~ `(~ ~ j= ~.~~~`~~ L _ C:G v~
SPECIFIC DESCRIPTION OF RECORD:
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~ (ZO ~ r' i1u~3G ~~ ^ ~~ ~
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
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
~•
FOR INTERNAL USE ONLY
Received by: Christine Fulton ^
Jessica Fulton
Date Received: ~/ ~ / ~~
FOIL Ser. #:
DEPARTMENT:
ASSESSOR ^
ACCOUNTING ^
CODE ENFORCEMENT ^
PLANNING 0
ZONING ^
FIRE INSPECTOR ^
HIGHWAY ^
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK ^
WATER/SEWER 0
DOG CONTROL OFFICER ^
TOWN ENGINEER ^
TOWN ATTORNEY ^
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ / / /
Department Head approval: ~c~ -
(init)
Date Applicant Contacted: ~ / ~/ ~3
Date F L fulfilled or enied: ~ / /~
Closed by: ~ ~-
Date: C~ ///~~~~-,~-~ ~ / ~~ / !
A `~, {//U
Notes: C ~k~//.el,
Amount Due: Pages for a total of $ '
Name: 1~Y1 ~ c ~-, ~ r-_ L ~ ~'_Gt/~, ~ z L '~ check here if you are
Address: ~j Vv~ W,2 'Lc./~ ~~~ L c._. -. ~~~ requesting that the records
~L~l~ ~~+ = /Z S ~= i~L )l.) cr be mailed to this address.
Agency or firm:
Telephone #: (~t~ ) 2~_-gyp FAX #: ( ) -
Email address: ~ +~ H ~~ ~~ ~ ~ ~ ~ ~ L< <Q~ ~'~ y}~ L _ CG w~
SPECIFIC DESCRIPTION OF RECORD:
1 fta ~ ,..._._.
,:
~ Tip lv a~-,/~64- S =!/~- L (. ~ + ~ 2 ~ ~ ~
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
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
IC,.