088JUN-21-2013 21:33 FROM:
FOR INTERNAL USE ONLY
Received by: Christine Fulton L7
Jessica Fulton
Date Received; ~ ~~
FOIL Ser. #:
DEPARTMENT:
.ASSESSOR Cl
ACCOUN?ING ^
CODE ENFORCEMENT
PLANNING t~
ZONING
FIRE INSPECTOR U
HIGHWAY ~-]
RECEIVER OF TAXES f l
RECREATION ~]
~' SUPERVISOR p
TOWN CLERIC n
WATER/SEWER U
DOG CONTROL OFFICER D
TOWN ENGINEER Cl
TOWN ATTORNEY D
T0: 92970579 P.8~9
i~ ss~s~
2009-10-16 J~CM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT 1„l~,E QNLY
Date Received by Dept ~ / ~~ / ~3
Department Head approval; rt G-
(init)
Date Applicant Contacted: l~ / ~~/ /-3
Date FOIL 1£~Ilc~~nied: ~/ ~ / ~--3
.__
Closed by: ~~
Date: ~, l ,.L, l l-3
Notes:
Amount Due: Pages for a total of $
Name:
Address;
0 check here if you are
requesting that the records
t' 3 be mailed to this address.
Agency or firm:;~v~~ i.~~c~a ~^p~ .
Telephone #: (~y, )4~ 3 _ Uz.~x~ FAX #: (t~Jy) y~~- pZ ~
Email addross:..,~.'r-U.r~,r `_ inkarich. cct»a ._.
DESCRIPTION OF RECORD:
3~TAK LIJ# I '5589 -~I Sr7_~ti~
FORMAT OF RECORD (if available)
I request to be notifed when I can come to inspect the record(s) described above
0 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
C7 l request that the records be sent via a-mail to the address listed above
fl I request that the records be faxed to the number listed above