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HomeMy WebLinkAboutR2021-0166 - Permit Application�()MMUNITY t 'Ci V. 'COMMUof Newport Beach. N,rry MAR 0 3 2 21 DEVELOPMENT 0 . EPART ENT BtlEbINP DlVf5l4N- 100 CiVId Center Dave 6 1 F�0--Bax IT68 1 Newport Beach, CA9265 ��915 Pan pv �,'JTYOF 134� www-newpof tbeachca.gov 1040 644-320b ORT BEN" AppIic#Uqhfdrg,b rt6fjR4ps.id�-ntialBuilding Reporos, [for all Residehlialamiddingr4 pa,. a7-jit meq. Rehupectibn PLO $ 17"d Peas a thui cr pririfi artd comvlete all information Z4 C tyH�--Qol 61 ID Piopertydvrnenfij-1�2-)(La ra ,2* Cade: Ofte.r.Mdress.:. L my, State: CA— .rp.qode: F— [fame PlIddet-1-- 9WW$ Airttiortzed Agent: Work Ph Agenl:Addres c3ty: ,swim 2!lp tade: Agedt:tfmi-Add EsaoW cottp"Ya e Escrow 4+4to --FL( t5aawAli-dress; 450 Newport Center Dr #600 Crty-, Newport Beach StatesCA -r,R (fuded92660 EscmW Photim. 949-720-0110 F Eln4i] FepprttP; L tdiLflin �k@gra . nit . eescrow.com . ...... CONSENT�r0imSOEtr(FbitMMUST,-EiisiONEf)i.f)ATEDi3ifLG1N( I authorize inspections andre=I I unrJ WM )C)IMYss!gnaturet.bd-eclm, e- I r3 Pspc . F819C702860445 Ac�count 9 MZCI5!)4-521040 —.—.........Make c.heckspaymWe to; dMOF NEtIfMRTBEAai