HomeMy WebLinkAbout20-11-19 Signed apps & pmtHARBORPERMIT
TRANSFER APPLICATION
100 Civiv Center Drive
Newport Beach, CA 92660
949m.641-3041
**Date Qf Applicaton;
**Property Address;='11
**Bu yer's Names;
50yees Signaturea,.SL�
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Billing Add I rew kk.
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"S61lees Names-. X Nr
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Joint Owner Signature;
**EscroW Company-
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*'Address AiK,20 Kewi)! "Esc -row, Number-.' Ti---Z "Fax
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Closing Date (Estimate), T'
6' Email:
*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection' Date.: I Reinspection Date:
Fee Paid-4 Check No
Application Complete,
HaEgResources SignafYr�elDate
Special Conditions: This permit is revocable by the City. Council
in accordance with Title 17 of the Newport Beach Municipal Code.
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a Civic Center Drive
N*port Deadi, CA 92660
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Buyers Slgnaturess K
Billing
**Seller's Names: 1ilaL6
Seller"s Slgnatures`
jointOwner
**Escrow N er G;, 119** -.b **Fax #
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Closing Date jE�#timate} _ �� � Email: /j/.-vta,
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date-.*Reinspection Date;
Fee Paid:Dhe k No: (,a.__ 1
Application Complete,c_(�C.
HarborResources SlgnatureMate
Spacial Conditions: This permit is revocable by the City Council
In acoordance with Title 17 of the Newport Beach Municipal Cade.
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Date:
Inspection Requested By:
Inspector:
Pier Address:
Pier Transf
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Comments / Observations
Other Request
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Need None Needed
Reinspection
Yes Need
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