HomeMy WebLinkAboutComplaint Form 2008-5-6 BRC�� LOG IN DATE:
COMPLETION DATE:
. 198
BUILDING DEPARTMENT
VILLAGE OF RYE BROOK
938 KING STREET RYE BROOK,NY 10573
(914) 939-0668
COMPLAINT FORM
DATE: �' O FOR OFFICE USE ONLY
LOCATION: / �j ¢�S y r �v
NEW S.B.L.: S' Z- / OLD S.B.L.: USE:
OWNER: A w I o S
Address&Phone: `Y/J 4—
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Address&Phone:
COMPLAINT: 1,4 2 � /r/r- �� J�r'v'S -,4
POSSIBLE VIOLATION:
INSPECTORS LOG r
DATE STATUS IN TOR