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 THIRTY CALENDAR DAYS TO MAYOR, CITY OF PLATTSBURGH, 41 CITY HALL PLACE, PLATTSBURGH, NY 12901, WHO MUST FULLY EXPLAIN REASONS FOR SUCH DENIAL IN WRITING WITHIN TEN BUSINESS DAYS FROM RECEIPT OF AN APPEAL.

I HEREBY APPEAL:________________________________________________

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