083From: JGLEB COh1TR.4CTIhFax: (845) 406-8Ci69 To:
FOR. INTERNAL USE ONLY
Received by: Christine Fulton ~::~
.Iessiea Fulton
Date Received: ~/~ /
DEPARTiVIENT:
ASSESSOR
ACCOUNTING
CODE ENFOP.CEMENT
P.[:ANI'~IING
ZONING
l; IRE INSPECTOR
HIGHWAY
RECEIVER. OF TAXES
Lt ECREATION
SUPERVISOR.
TOWN CLERK
WATER/SEWEI't
DOG CONTROL OFFICER
TOWN ENGINEER.
TOWN ATTORNEY
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Fax: +1 (845j 288-1478 Page 2 of 2 &/21l2D13 10:02
2009- l 0-16 JCM
TO~~ti'~l~t C)F W~P'PINGER
Application. for Public Access to Records
Fa.rL x~~~.~sT
RECENE~
JUL 0 3 2013
TONjN pF WAPPINGER
FOR DEPARTMENT USE ONLY
Date Received by Dept. ~/~ /
Department Head approval:
(intt
Date Applicant Contacted: _~/,3 /~
Date FOIL fulfilled or denied: ~ / / /'
Closed by:
Date: ~/,~ %
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Amount Due: ges for a total. oI' $
Name: ,~e (~
• Address: 4j
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Agency or firm.: ~ t
Telephone ~: (~'~t j)
Email address: r~J~D- ,t,~""c~.~•Q ~ p
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b~ ~L"~2 t..r 1 ~~ ~ check here if you are
t" requestitlg that t}ae records
rs'•,~.~-• be mailed to this address.
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FAX #: (~'j s) ~fOC -~ 7~1
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SPECIFIC DESCRIPTION OF RECORD:
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FORMAT OT' 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 thisapplicatian
I request that the records be sent via e-mail to the address listed above
I~~ I request that the records be faxed to the number listed above