HomeMy WebLinkAboutComplaint Form 2012-8-8 t '
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BUIL � DEPARTMENT
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938 KIN :&TWEET RYE B ~` NY 10573 COMPLETION DATE:
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ASSIGNED TO:
COMPLAINT FORM ASSIGNE
RECEIVED BY: I!
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OWNER: 1.
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Address&Phone: II
SOURCE: 1� Phone/Letter/Other:
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POSSIBLE VIOLATION:
INSPECTORS LOG
DATE STATUS INSPECTOR
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