HomeMy WebLinkAboutR2022-0201 - Permit ApplicationYLELEIVEO Qy
COMMUNITY
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City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT APR 13 2022
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 CITY OF
www.newportbeachca.gov 1 (949) 644-3200
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Application for Report of Residential Building Records
Please type or print and complete all information
# of Units: Address rGQ4 Redlandsv..enue '..j _xi.,; City:
Sate GA; Zip: 's826f
..
Property Owner Hobert Li„ W eddOTE WITrust, _::.. _;;., Zip Code
Owner Address _ City:
State „ ..,: Zip Code:
Home Phone u- u ..._:.: _....... ":m: .....x.:.
Owner's Authorized Agent ,Iyllissa l3ames _„mr ;{ t, Work Phone:
Agent Address
45, Ne ,
qf3 ettf�r Dr?#100 ,, , , ,,, ,,, ,,,,
city: Ne4t
State. GR....:.
Zip Code.
1.`.92680 ....::.
Agent Email Address:
?mbarne's 'uil
Escrow Company ;€P,rands„sc,"rpvq&:Settlltt�hts@rvices _ ,m,,, :;__,_ Escrow #: Df16808,SG .®...;
Escrow Address _450.tyyy ott Center, Drive, Sud.:60q ` City
State �
Zip Code
'9286p ._m;;;
Escrow Phone:
Email Report to:
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For Inspection call (Name) , ....::: Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED AND DATED BELOW
Account # 01050504-521040- ................Make checks payable to CITY OF NEWPORT BEACH
Building_Div,sionlFomisIRBRJ-0-21