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  2. TOWN OF SOUTHAMPTON

    Application for Public Access to Records
    Please type. 

  3. I hereby request (Check One Only)*
  4. By Checking This Box*

    I hereby state that any property owners’ names and mailing addresses requested by me and/or disclosed by the Town in regards to the aforementioned FOIL request, will not be used for solicitation or fund-raising purposes. Furthermore, I will not make available the names and addresses to any other person, organization, or entity for the purpose of engaging in solicitation or fund-raising. Furthermore, I agree that the record(s) requested shall not be utilized in any manner tending to constitute an unwarranted invasion of personal privacy. I further agree to indemnify and hold the Town of Southampton harmless from damages and/or any claim arising from any such unauthorized use of the record(s) requested. 

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