APPLICATION FOR PUBLIC ACCESS TO RECORDS (FOIL)

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FOR AGENCY USE ONLY APPROVED:______

DENIED FOR THE REASON(S) CHECKED BELOW:

◻ CONFIDENTIAL DISCLOSURE ◻ RECORD IS NOT MAINTAINED BY THIS AGENCY
◻ PART OF INVESTIGATORY FILES ◻ EXEMPTED BY STATUTE OTHER THAN THE FREEDOM OF INFORMATION ACT
◻ UNWARRANTED INVASION OF PERSONAL PRIVACY ◻ OTHER (SPECIFY_____________________________________________
◻ RECORD OF WHICH THIS AGENCY IS LEGAL CUSTODIAN CANNOT BE FOUND

 

SIGNATURE:_______________________________ TITLE:________________________ DATE:____________________

NOTICE: YOU HAVE THE RIGHT TO APPEAL A DENIAL OF THIS APPLICATION WITHIN SEVEN BUSINESS DAYS TO MAYOR & CITY CLERK, 41 CITY HALL PLACE, PLATTSBURGH, NY 12901, WHO MUST FULLY EXPLAIN REASONS FOR SUCH DENIAL IN WRITING WITHIN TEN DAYS FROM RECEIPT OF AN APPEAL.

I HEREBY APPEAL:________________________________________________

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