HomeMy WebLinkAboutComplaint Form 2008-3-17 BRnv� BUILDING DEPARTMENT
VILLAGE OF RYE BROOK.
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y 93 8 KING STREET RYE BROOK,NY 10573
(914) 939-0668
198
COMPLAINT FORM
DATE: C)6 FOR OFFICE USE ONLY
LOCATION:
NEW S.B.L.: I l ' 2 — Z G OLD S.H.L.: ( ' Z - t�/� (c —USE:—':!
OWNER: L ► N A-
Address&Phone: A
SOURCE: '�+" r Phone etter/Other:
Address&Phone:
COMPLAINT: i ,,�
POSSIBLE VIOLATION:
INSPECTORS LOG
BATE STATUS INSPECTOR