HomeMy WebLinkAboutComplaint Form 2008-8-21 �C BR LOG 1N DATE:
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BUILDING DEPARTMENT ASSIGNED TO:
VILLAGE OF RYE BROOK Sr
938 KING STREET RYE BROOK, NY 10573
(914) 939-0668 ASSIGNED BY•
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COMPLAINT FORM
RECEIVED BY06()nl;lk;
DATE: I FOR OFFICE USE ONLY
LOCATION: 2C2 IfflMh V)" "'
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NEW S.B.L.: �� .. I OLD S.B.L.: I �C.Y/J� 1�I1 L.�. L USE: 4 C1
OWNER:
Address&Phone: /
SOURCE: �r hon etter/Other: I UJ
Address&Phone: �3 G V
COMPLAINT: + ! -f m S
POSSIBLE VIOLATION:
INSPECTORS LOG
FIATE STATUS INSPECTOR