064FOR INTERNAL USE ONLY Received by: Christine Fulton ^ Jessica Fulton ~/ Date Received: ~ / ~ / / 3 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 ^ 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records ~FC~~~FOIL REQUEST Tp~NN~F~ p~A ~~~j~ ~9pp~~G~~ T FOR DEPARTMENT USE ONLY Date Received by Dept Department Head approval Date Applicant Contacted: ~--- Date FOI lfille or denied: Closed by: ~4 ~ Date: / aS/~ (init) /~-/~ 6/~/~3 G~ Z'~ / /_.:'; Notes: _ (cYJ /~ -~NSD. ~0~ ~ Q ~ 0~0 /a - - - Amount Due: ~ Pages for a total of Name: Address: v ~- Agency or firm: Telephone #: (gt~ S") 3 ~~ - 3 Z 3`~ FAX #: ( ) - Email address: `n~ ~y, ~~(J ~t .o (~, L vY~ ^ check here if you are requesting that the records be mailed to this address. SPE IFIC DESCRIPTION OF RECORD: ~1~.~s 'Zc7 ~v W~~~~ ~1II 1~ { ~ S /z' U ~ i vw, ~' ~- 5 Zorn-,, t ~ s o sY ~ 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 a-mail to the address listed above ^ I request that the records be faxed to the number listed above ~~3 FOR INTERNAL USE ONLY Received by: Christine Fulton ^ f Jessica Fulton ~/ Date Received: ~ / ~ / / 3 FOIL Ser. #: DEPARTMENT: ASSESSOR ^ ACCOUNTING 0 CODE ENFORCEMENT PLANNING ^ ZONING ^ FIRE INSPECTOR ^ HIGHWAY ^ RECEIVER OF TAXES ^ RECREATION ^ SUPERVISOR ^ TOWN CLERK ^ WATER/SEWER ^ DOG CONTROL OFFICER ^ TOWN ENGINEER ^ TOWN ATTORNEY ^ 2009-10-16 JCM TOWN OF WAPPINGER Application for Public Access to Records RF~~~~ FOIL REQUEST /~N a ~ EO owNOFOFp~q Z~13 ~vgppiN ~~ T J~ b,~ ~ -13 FOR DEPARTMENT USE ONLY Date Received by Dept ~p / ~/ ~V~ Department Head approval: aS~- (init) Date Applicant Contacted: ,~ / ~ / Date FO lfille or denied: 6 / ~ / ]3 Closed by: ~ 4 ^ ~~ Z ~~ ~ k, V~ c U (t 1 ~ Date: / / Notes: (~ /~ ~NS/~. ~.~ ~-- a P~ ao la Amount Due: ~ Pages for a total of $ Name: ~ ~ 'r1 ~'~L~ U (~ o~ -C 0`~ v ~- ^ check here if you are Address: ~ o ~ i3-csz.1.C ~ ca n t2 requesting that the records i~.~ s~.P ' ~ ,~,I ( -~-~ .~{-- l~ ~ (Z ~ ~3 be mailed to this address. Agency or firm: Telephone #: ( t(~) 3 ~~ - 3 Z ~`~ FAX #: ( ) - Email address: ~,c `r,c~ w-r, ~`1 ~~ c~ ~ L ~ ~ ~-,-, SPE IFIC DESCRIPTION OF RECORD: _ (di i v,.r, ,' -4- 5 ti i~ ur,,, ~©~ i 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 ^ I request that the records be sent via a-mail to the address listed above ^ I request that the records be faxed to the number listed above