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1601 Ca3fle Cove Cir
t
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newoortbeachca.aov 1 (949) 644-3200
REQUEST TO WAIVE SURVEY REQUIREMENT
FOR THE PURPOSE OF MASONRY FENCE CONSTRUCTION
The Building Division requires the affected property corners located and monument by a
California licensed surveyor prior to building or rebuilding a masonry fence along the
property line to insure that the fence will be properly located according to the approved
drawing.
This requirement may be waived if property owners on each side of the fence request
waiving the survey requirement. This form may be used when filled out appropriately
for such a request and submitted to the Building Division prior to issuing a building
permit.
We, the undersigned, agree and request the Chief Building Official to waive the survey
requirement for building a masonry fence adjoining our properties.
Property Owner Requesting a Building Permit to Build a Fence:
Name Kl-2 l7?,t c,,
Subject Property Address: v (v 0 C_C S l-% (!:�DUe, 6 /'c% w e -6y" ( lie-(
Signature �t r%ti� Date flb
Adjoining Property Owner(s):
Name d}rr\ Skiy 20 s11a-"A
Address 607 ec-S��o S ✓t/Q err 1 C��rouv �i�l Mah c°� g2�Z5
Signature a41/ -AZ i ^ �� Date , 3u l 2 o 1l
Address
Signature
Name
Address
Signature
Fomis\smeywaiver 08/12/16
Date
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Date
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X2019-1375
1601 Casile Cove Cir
COMMQANFrV DEVELOPMENT DEPARTMENT
BUILDING DIVISION
IGO Civic Center Drive I P.O. Boo 1766 11 Newport Beach, CA 92658-8995
www.newportbeachca.gov 1(949) 644-3200
AGREEMENT TO BUILD A PENCEMALL CENTERED OPER THE PROPERTY LINE
THIS AGREEMENT has been entered into by bre following property owners for the construction
of a common property line fence where 50% of the wall thickness and foundation will be built
over the adjacent property.
This is a sample form intended to assist both parties through the permitting process, it is not intended to address any property rights
or legal issues. Any other forms of agreements may/be used as long as it contains the basic information herein.
SUBJECT PROPERTY ADDRESS: /J� 45/Oi Ga ev 4Pp Z4 iA rI--1 , lq, G21
r
K� e �ie�tie✓' 11�.r� .�6iv� `f�a�/%/y 4'2,�zr
PRINT NAME S NATURE OF PROPERTY OWNER DATE
ADDRESS OF ADJOINING PROPERTY I (See key plan): �IZ,0 7 �5 i L �
RY n StiiP IrASIiO Z Its �l2Gzj
PRINT NAME SIGNATURE OF PROPERTY OWNER OATE
ADDRESS OF ADJOINING PROPERTY 2 (See key plan):
PRINT NAME SIGNATURE OF PROPERTY OWNER DATE
ADDRESS OF ADJOINING PROPERTY 3 (See key plan):
PRINT NAME SIGNATURE OF PROPERTY OWNER
KEY PLAN
PROPERTY2
�I'')To
PROPERTY I SUBJECT PROPERTY:
fo s o c i o
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co co 0
forms/property line wall agreement 2016-08-12 a: ��`e
DATE
PROPERTY 3:
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