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Freedom of Information Request Form
TOWN OF MALTA - SARATOGA COUNTY
TO: RECORDS ACCESS OFFICER
TOWN OF MALTA
2540 ROUTE 9, MALTA, NY 12020
I HEREBY APPLY TO INSPECT THE FOLLOWING RECORD(S):
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SIGNATURE                                 DATE
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REPRESENTING                `         TELEPHONE NUMBER
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MAILING ADDRESS
FOR AGENCY USE ONLY
APPROVED ( )
DENIED ( )
Record of which this agency is Legal Custodian cannot be found. ( )
Record is not maintained by this Agency ( )
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SIGNATURE TITLE DATE
NOTICE: YOU HAVE A RIGHT TO APPEAL A DENIAL OF THIS APPLICATION
TO THE TOWN BOARD OF THE TOWN OF MALTA.
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NAME BUSINESS ADDRESS
I HEREBY APPEAL
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