086JUN-21-2013 21:31 FROM:
T0: 92970579 P.4~9
~R INTERNAL, ~ SE ONLY
Received by: Christine Fulton 0 >
Jessica Fulton
Date Received: ~ / o~o~~/!~
FO1L Ser. #: V
DEPARTMENT:
ASSESSOR U
ACCOUNTING I. I
CODE ENFORCEMENT ~
PLANNING L~.
ZONING ~
FTRE TNSPECTOR n
HIGHWAY Q
RECI/1VER OI: 1'A?CES ^
RECREATION
SUPERVISOR C7
TOWN C1..EltK f-7
WATER/SEWER n
DOG CONTROL OFFICER ^
TOWN ENGINEER Ca
TOWN ATTORNEY ^
Amount Due: Pages for a total of $
Name;
Address:
Agency or firm; TI ry1G~i_iy~,p~,1~t,i,,~,~,n
Telephone #: ($4 S) 47~- wO PAX #:
Email address:.. ~. i ~.,~ rk.r, G . i n.~ca~.r~c,H .
DESCRIPTION OF RECORD;
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT US,E QNLY
Date Received by Dept ~ / 2~/
Department Head approval: ~G--
(in.it)
Date Applicant Contacted: ~v /?.G / /3
Date F fulfille denied: ~/ / / l-~
Closed by:
Date: ~/ ~ /
Notes;
-t'olSr7~
C7 check here if you are
requesting that the records
be mailed to this address.
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Dui t~ ~.
FORMAT OF RECORD (if available)
T request to be notified when 1 can come to inspect the record(s) described above
C1 l 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 1 request that the records be sentvia a-snail to the address listed above
U I request that the records be faxed to the number listed above