HomeMy WebLinkAboutComplaint Form 2008-9-22 13ROuk LOG IN DATE:
4 �+� COMPLETION DAT
BUILDING DEPARTMENT ASSIGNED
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914) 939-0668 ASSIGNED
COMPLAINT FORM
RECEIVED BY:
DATE: G' V FOR OFFICE USE ONLY
LOCATION:
NEW S.B.L.: ( * •� � r Z� OLD S.B.L.: 1 ` G -USE: C2 10
OWNER: ^�'�- I' I Ti'ado
Address&Phone: 10 L h ,y in
SOURCE: � � JI on etter/Other:
Address&Phone: ` -� �►
COMPLAINT: (DCov- 5-� f � r
Z ) COP dIM ! 1 I n 1
POSSIBLE VIOLATION:
INSPECTORS LOG
ATE STATUS INSP R
CL.44 L W R A vN rf�,,qri_ v
ifwr ur0 S L-A • LGoL,i c� k A.vfL