094
FOR INTERNAL USE ONLY
Received by: Christine Fulton ^
Jessica Fulton
Date Received: ~ / ~ /
FOIL Ser. #: "I
DEPARTMENT:
ASSESSOR ^
ACCOUNTING ^
CODE ENFORCEMENT Q~
PLANNING ^
ZON
_
INSPECTOR ~
~
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK ^
~ WATER/SEWER ^
DOG CONTROL OFFICER ^
TOWN ENGINEER ^
TOWN ATTORNEY ^
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
aEC~ ' -:
P{q! 1NSPECTOa
TOWN OP WgpPINGER - ~
FOR DEPARTMENT USE ONLY
Date Received by Dept / ~ / ~3
Department Head approval:
(init) .~
/ C
Date Applicant Contacted: ~ / ~ ~/
Date FOIL fulfilled or denied: _~ / ° "/ I
Closed by: v ~ `
Date: ~ / ~`=~/ /
Notes: l~.m~ t V Z- / ~
Amount Due: Pages for a total of $
Name: -~,~~.~,.,, ~-, ,'~a:,,,,.~
Address: 11
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Agency or firm: ~
Telephone #: (s~;~
Email address:
check here if you are
requesting that the records
be mailed to this address.
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SPECIFIC DESCRI1PTIION OF+ RECORD: f
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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 e-mail to the address listed above
~'' I request that the records be faxed to the number listed above
Y/
FOR INTERNAL USE ONLY
Received by: Christine Fulton
Jessica Fulton
Date Received: ~/ ~/
FOIL Ser. #:
DEPARTMENT:
ASSESSOR ^
ACCOUNTING ^
CODE ENFORCEMENT ~/
PLANNING
ZONING ^
FIRE INSPECTOR ^
HIGHWAY ^
RECEIVER OF TAXES ^
RECREATION ^
SUPERVISOR ^
TOWN CLERK ^
WATER/SEWER ^
DOG CONTROL OFFICER 0
TOWN ENGINEER ^
TOWN ATTORNEY ^
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
FOR DEPARTMENT USE ONLY
Date Received by Dept ~ / /_~ /
Department Head approval: ,S
(init)
Date Applicant Contacted: Z / o? ~ / /
--;
Date FOIi~ Ile r denied: ~ / ~~
Closed by: ~\~~ o~___ ~~T~ -
Date: c' "1' /
~/~
Notes:
Amount Due: Pages for a total of $
Name: ./~~ r h ~ L c3 /tea ^ check here if you aze
Address: . '~ requesting that the records
f . 'c ~.~,' I1 /V y i a2 S2 ~~ be mailed to this address.
Agency or firm:
Telephone #: (~y s) g~_- 6 ~ O s' FAX #: ( ) -
Email address:
SPECIFIC DESCRIPTION OF RECORD: ,/
~c2(z-L~ ~' 1 P~ ~rfi~. ~,.~ ~,a /Q .1 ~i ~S~D-~cf 'o~~~~~`C~'
FORMAT OF RECORD (if available)
0 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
^ I request that the records be faxed to the number listed above