sun at New York - DMxion 
n40 SriieSireer,Aibiny. NV mm Vn

INITIAL APARTME

NOTE: Mi iniorrnniun euiem an in, [arm .nrur be uiid lor med

    

   

 

 

 

 

 

 

And Cnmmunl

 

iiDHCwaliiui 5
NT REGISTRATION

3W0

ISI. Amid Run nu Dtle In "an
Legal Rem in imn ii Above)

'h $90-00

(Sh. Reuun lor dimrcnu:
A pliance Surchuge El DHCR 
fifenmhl Rem smiun i 

orier (rpm/y)



 



ry Renew-i Process!" Smut: UNL mu

mini: .runrni bee-mew: In Run mix 

me an: enmra in iiem I)

M. I.qu minim: Run an Dine In iiern i

flan>>. Wtek

I (cum only ifdifl'emni (hm

per B/Munrir DWruk

i Reduction Oink!
SCRIFJDRIE

 

 

 

l. Dal! Ipaflmmibccunc 1. Dale 
subjed in km Sizbihunon
liq/30m Vich
Month D1) Yell Monlh DI Yul
3. Bulldlilng Nunner MDR mn UHnlel
3'1 3 '3 '45
4. Sim! Addrm
Grog" North 
s. on. Town or vuiuge a. Zip Code
NY
@rcomrm MM
7. County Ap-mneniNnmber 9. Ton" of
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LAST rim MJ

    

 

 

me Ilcsil emei on D-rr In iim i Ibave

Equipman Ind eeniru ineiuned in renz (:hrr'nrmanym qapiy)

E'fiore D'fiin'gmror Zfinwuner UBIinds/Shadts

iure Maid Servicc Linen Service


Dagnmmoomm 

mm Mon/i.

IS. Equipmml Ind mvim Iiir whkli . "pint: name Ix
eniireieri by owner (dim in many 0: apply}

 

ElecrrieiinAc Mni'd Service El Linen Service CI Furninm
l] Mum TV Aniennx Reereniiunui Fm

mum mu 

Sap-mung, From To 1
Mthiy

 




Veer

Dly Yur

Oahu (Wed/5')

 

 

ion, Rellon l'ar inmii mi

3 i

 

Rem MCR

Dal: Rani 13mm 

Elf?!" (verify)

i6b. nl

  

Apirimeni Sn

i Conlml


Sybil/[TM
42 In Murkei Rue Unix

Income Resinmed Unii
Tim 1204 Income Rexincud iimi re
Marx incomes-i we run:

v. minim near-n mm a Idlm

No! Prime 
Nol lo! Pmfil

 

 

Nam Mljni Rehab we Reg-simian
Aplnmeni Vuam er inne oipreviuus Regisimron
Apnrirneni Previouny under Mitchell-Lulu

Aperuneni Previously Rem Conwlled



km - or TA 

El bui vaiousb iienr 

Am Midi-r: income
mupuney dn nomich mrlbovt

Cl Exempi irimmpi box in checkrd, nne tum MUsTbe seieered below)
OwnuOccu ird/hmpioyu


High Million

Cmpicorun Omiyrtd by Non-pioneered Twin!
[xpimion or Seem>>. mm seeirun lZl-l Semen eon

aria)



 

 

In)

In! innrirrs

red in! (Imfly xii:

 

 

 

 

 

 

 

 

 

 



l7. owner/Menqing Agni (em/r [j Ownti mania; Agenr coon/com Owner
LAST NAME NAME Mi. N077 I/unrm
Wm trim
Mom 03qu Mqu Lu. 
Eli-