087JUN-21-2013 21:32 FROM:
FOR 1NTERNAL USE ONLY
Received by: Christine Fulton
)cssica Fulton Chi
Date Received: ,~ /~!o/
FOIL. Ser. #: T
Dt':!`ARTNYEN'1's
ASSESSOR CJ
ACCOUNTING 0
COD>~ ENFORC1rNI.ENT !~
PLANNING ~
ZON.TNG ~
F1RF INSp.ECTOR 0
.HIGHWAY ^
RECEIVER OF TA7fES ^
RECREATION LI
SUPERVISOR ^
TOWN CLBRK ^
WATER/SEWER ^
DOG CONTROL OFFICER n
TOWN ENGYNEER 0
TOWN ATTORNEY ^
T0: 92970579 P.6~9
~2ero>ER~ 58Sroero
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
Fora ~QU~sr
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ l2~1 f.~
Department Head approval: ~lG'
(init)
Date Applicant Contacted: ~ / Z ~ /
Date FO] fulfill r denied: ~ / ~. /
Closed by: C~
Date: ,~,. / / /
Notes:
Amount Due: Pages for a total of $
Name:
Address:
^ check here if you are
requesting that the records
be mailed to this address.
Agency or firm: "~,ry IL M ~kQ1,~-i-''I~d~Tl.t~,~ P, tlC.
Telephone #: (~SKS~ ~,~„- 0 FAX #; ($~ ~ „~~- 0 2.~7
Email address:.,(Z~~~-~.~,rn~-a~,r~.h.~_Lt,^rn.
FIC DESCRTPTLON OF RECORD:
~ ors : iN
Mcr,E.a ~"a T~ Tau -~, ~, 1M 5 0 1
FORMAT OF .RECORD (if available)
I request to be notified when ]can come to inspect the record(s) described above
u 1 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
C1 T request that the records be sent via a-mail to the address listed above
^ 1 request that We records be faxed to the number listed above