068
FOR INTERNAL USE ONLY
Received by: Christine Fulton
Jessica Fulton
Date Received: ~ 1 ~ /
FOIL Ser. #:
DEPARTMENT:
ASSESSOR
ACCOUNTING ^
CODE ENFORCEMENT
NNING ,'~
ZONING
FIRE INSPECTOR
HIGHWAY
RECEIVER OF TAXES n
RECREATION
SUPERVISOR ^
TOWN CLERK
WATER/SEWER
DOG CONTROL OFFICER i-;
TOWN ENGINEER
TOWN ATTORNEY ^
Name: I~Uf'ai~,~-T-' l U
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOAL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ / f~ /
Department Head approval:
(init)
Date Applicant Contacted: ~P / ~ / ~ 3
Date FOI fulfille r denied: ~/ ~ /~~
Closed by: /E',~
Date: ~ / l / l
Notes:
Amount Due: Pages for a total of $
^ check here if you are
Address: 2S Y-~+`t Ir.ligc.,r~~ rcc~0 - requesting that the records
Pc7UCr ~+e:~-1~~~ ~ M ~( 12 (oo ~ be mailed to this address.
Agency or firm: Ti M Kahl, in'l /~M 14i2.c,~~-t 1L~ C~tA Y~ l~~ ,. .
Telephone #: (8'ts)i}7~ - d~ FAX #: (~,y~) x'13 - crZ~;7.
Email address: ~i~Turner. ~ itll~c~„ r~,l~. C c!m
SPECIFIC DESCRIPTION OF RECORD: ''- ~ v ~ ~ -~` "` ~ ` ~ ` /
~rz~ TAX IDS ~ '3~~~`i -Cois''j-c~~L-~S~S~5'7.
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
1 request that the records be faxed to the number listed above