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HomeMy WebLinkAboutR2022-0169 - Permit ApplicationCOMMUNITY i3FVELOPMFNi- C6SY of Newport Beach MAR 31 2022 coMMUIWY, U LOPME DEPARTIM01 r�ZSUic. 1W bivisi mr e?22 O I �/ 1,00 Civic cen%r Dsirre l P,o7 130,x,176$ ( Newpa f 8oach, GA92658-89, TV ITY OF 1i6R# Www.neWportbeachca.gov 1 {949) 944-3200 44PPOPT BEPG Please tune or miRtand iotttp!ete ay t6haMardort #ni'UnitS.Addtess: �% jJ!'�J'`� I.Gty: Newparteackt� State: CA up: :Owner Address: State: ICA _l Zp'Catles r i+ Home Phone: Owner's Authorized Agent j( i i Work Phare: ;AgentAddresr State: : 40 Code: Agent Email Adbress: I serarC4rt)pamr -oranite tscrow Escrow# } EscmwAddress; . 450 Newport Center' Dr 1i6QO CXr,Nev part Beach State: F F Zpj ode 92660: FsaowPhtne: 949-72D-0110 Email Report to: tdaTliri2iR7'ani twa�rrnra rnm ` *, Fnspecuon call (Name): Direct Phoney ,`.ON5Ekt TD f Nk9q [FORM MUST 'BE -SIGNED & DATED SEtOW1 804ioLdAr� 1 MAOR-�2-U