Letter Of No Objection Or Letter Of Verification Application Form
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1
2MANHATTAN (1)
BRONX (2)
BROOKLYN (3)
QUEENS (4)
STATEN ISLAND (5)
RD
th
th
nd
280 BROADWAY 3
FL.
1932 ARTHUR AVENUE 5
FL.
210 JORALEMON STREET 8
FL.
120-55 QUEENS BLVD.
BORO HALL- ST. GEORGE 2
FL.
NEW YORK, NY 10007
BRONX, NY 10457
BROOKLYN, NY 11201
QUEENS, NY 11424
STATEN ISLAND, NY 10301
(212)-393-2615
(718)-960-4700
(718)-802-4001
(718)-579-6920
(718)-816-2316
Check one:
LETTER OF NO OBJECTION (
LNO) OR LETTER OF VERIFICATION (
LOV)
APPLICATION
Applicant’s Name:
Mailing Address:
Email/Phone:
City:
State:
Zip Code:
Letter Requested for the Following Premises:
Property Address:
Block:
Lot:
Bin:
Owner Name:
Phone:
Address:
Fill in the following:
State current use of the property:
(Example: 1- or 2- Family Dwelling, Store, Laundromat, Car or Taxi Services, Restaurant/Bar)
Proposed use/occupancy of the property:
Agency Requesting Letter:
(Example: Bank, Court, Dept. of Consumer Affairs, Liquor Authority, etc.)
Declaration: I understand that this letter is not a substitute for Certificate of Occupancy. I hereby
declare that the information provided is true and complete.
Date:
Signature:
ALL LNO or LOV REQUESTS WILL TAKE APPROXIMATELY THREE (3) WEEKS.
{Department Use Only}
Comments
Fee
Examiner
Date:
|
build safe
live safe
Revised - 5/19/14
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Parent category: Letters