Fillable CODE ENFORCEMENT James L. Larocca, Trustee Sag Harbor, (Incorporated Village of Sag Harbor)

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CODE ENFORCEMENT James L. Larocca, Trustee Sag Harbor, (Incorporated Village of Sag Harbor)

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BROWSE INCORPORATED VILLAGE OF SAG HARBOR (NY) FORMS

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CODE ENFORCEMENT
Kathleen Mulcahy, Mayor
James L. Larocca, Trustee
Aidan Corish, Trustee
Beth M. Kamper, Clerk-Administrator
55 Main St., PO Box 660
Sag Harbor, N.Y. 11963-0015
Tel: 631-725-0224 Fax: 631-725-4852
Thomas C. Gardella, Deputy Mayor
Robert Plumb, Trustee
Denise R. Schoen, Village Attorney
COMPLAINT FORM
Location of Complaint_____________________________________________________
Name of Caller___________________________________________________________
Address_________________________________________________________________
Email Address:___________________________________________________________
Date______________________ Phone # ______________________
Inspection _____ Complaint _____ Request for Service _______
How Received: Phone: ________ Mail _______ Personal ________
________________________________________________________________________
Remarks:
________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
Referred to: ____________________________________________________________
Date:__________________________________________________________________
Action:_________________________________________________________________
Comments:______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Investigated By:__________________________________________________________
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CODE ENFORCEMENT James L. Larocca, Trustee Sag Harbor, (Incorporated Village of Sag Harbor)

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Completed 19 January 2021

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