HomeMy WebLinkAboutComplaint Form 2011-4-26 LOG IN DATE:
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COMPLETION DATE:
7. 99a2•�
BUILDING DEPARTMENT ASSIGNEDTO:
VILLAGE Off'RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914) 939-0668 ASSIGNED BY:
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COMPLAINT FORM
RECEIVED BY: �--
DATE: 44*2D-�
FOR OFFICE USE ONLY
LOCATION:
NEW S.B.L.: 51Q OLD S.B.L.: �(U 3 USE:
OWNER: Col I n T hnr+ Q n
Address&Phone: LOL r �c
SOURCE f Phone/Letter/Other:
Address&Phone: I a w fn c
COMPLAINT: rn , - Ley
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POSSIBLE VIOLATION:
INSPECTORS LOG
DATE STATUS INSPECTOR
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