HomeMy WebLinkAboutComplaint 5.22.2014 LOlzz
IN DATE:
BUILMN)G DEYNRI'NIENT ,�
VILL#�E OF RYE BROOD C(?MPLETIO DATE:
938 KThIG-�`�REEI-RYA BROOK,NY 10573
..1� `) 9-066.9 ASSIGNED'I'
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ASSIGNED BY
COMPLAINT#:
COMPLAINT FORM
RECEIVED BY:
DATE: . ) p ! I FOR OFFICE USE ONLY
LOCATION: ,2- - ! kh 1 I C res4
NEW S.B.L.: /35, !(LJ - OLD S.B.L.: USE:
OWNER: ea?sAwha60 S� S
Address&Phone: 'l
SOURCE: 2 / ��f 1 Lot's Phone/Letter/Other:
Address&Phone:
COMPLAINT: Y�• Z T +� �-+ l C !� l
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POSSIBLE VIOLATION:
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INSPECTORS LOG
DATE STATUS PECTOR