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R2021-0255 - Permit Application
;g* GEIVE(7 Gi COMMUNHY i;PVEI(,PMEN7 < �Y of Ptevuporkhl APR 0 5 2021 GG1(A!@ UkITY MELOPMENi DEPARTMENT" n BUtLbWG, DMSi+3N /qq/ DD Cis>>c C'enfei Drive j P.Q Box 1768 NeWpart'Beach, CA92658-8$.,415' ,RBB# .O" :WWWneWpgrthaachca.govI (449)644-320b Application Fee: -094.0 4 L (FSYaFIKesitiE.PrtE3iKiiitdfng5j NQtSce^....; '7lpplicatitsns:witlt insuffici�t fee gayfn'ej}i T{eieupectiaet Fee-$1YS.U0: or Incomplete wFii beret4rW. Ptease ti pe ikizrintaad cat'nnlete all Informatfun �ofOrrrits'� j Address' � �� � _ P'ropartyowner:� � Y)C, Owner 4ddress; 4f y' -E� tai_��e CW- Si te~ o Bode ai (pif3 Homa:Phane: :. Osvner'sAvthorized��_LLAgrre��rii»:��, -WnrkPhane; i `�.-3,17ki; Rge tAddress 1c� 7 ' �C tTGt✓ �1{C # 'City T� { (N e .'s 5iat�-- ( 0,4 z p code t C(Gi� GZ(IM $' ;Escrow•conpan'�S „ratite Escrow. ... •,' Escrow ..''-.. _. Escrow Add>'ess: 450 lvcwport. Center Dr #600 Cxxy Newport Beach YipCode:`92660 EscrowPho�e:..949-720-;0110 ,_ Fo�lnspe�gQn call (Pfamej _.._ . t7I'7acf;':PFrone: fdNSEitii"TO INSPECTIFORkMOST RE 9t iLIEb & DATED BEI:QM,. ,4=6nt#01056504-5211040.'... .............M Ixchecf�payableto:.C1TYOFit'Ei4T8RT'BEAGH HYTdaL4ev'Rep\Typ1\{�q