HomeMy WebLinkAboutComplaint Form 2008-5-6 BRCty� LOG IN DATE:
( jjS{�✓���yt L��*e{� (R
COMPUTION DATE:
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KDIG STREET RYE BROOK,NY 10573
(914) 939-0668
COMPLAINT FORM
DATE: (� ~ 4 FOR OFFICE USE ONLY
LOCATION: S112 o 4-Z "a
NEW S.B.L.: 12 9• 7` - 2 OLD S.B.L.: I S ' G -,5- USE:
OWNER]
Address&Phone:
SOURCE: —Af f' "jr/` Phone/Letter/ Cher• .0
Address&Phone: n -,c
COMPLAINT: ,Pve,.y or®199-f- / c, (4& S/2K hiol<'- —,Uo
POSSIBLE VIOLATION:
INSPECTORS LOG
DATE STATUS CTOR
t-