HomeMy WebLinkAbout21-11-29 Signed appsr ` P01V HARBOR PERMIT
TRANSFER APPLICATION
n 100 Civic Center Drive
Newport Beach, CA 92660
�'att�oRr'�
949-644-3044
**Date of Applicaton: it iy aoz1 Permit Number:
**Property Address:
ij�oo W, 5ay .4yer?c__
l�/eGrJ�o a�� ,Ue-a cii ,. Gra � 2lvly /
**Buyer's Names:
!�t%y� �60 (des.",-ee f��cfg2
DocuSigned by: DocuSigned by:
Buyer's Signatures:
I F-�__
D04EA402853D4DE._ E628C537AEF044C...
Billing Address:
1033 w balboa Blvd Newport beach ca 92661
Telephone No.:
7143312888
**Seller's Names:
7 f k4 6
Seller's Signatures:
Joint Owner Signature:
NIA
**Escrow Company: Gran,,je Phone#
**Address y5C JA/P weor+ Ce-a4r Dri'yc. q 400 P IV,-Wo'-% /3r4cl
**Escrow Number: O L/- y60 9 ,7 -tY-G, **Fax #: e �
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Closing Date (Estimate): izZq/; / Email: �a r,'��o� IGnI�ttSGVDuJ e, UkY7
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: I t 12-i 121 Reinspection Date:
Fee Paid: Check No: -7'1 l `7 `:l
Application Complete: _
Harbor Resources Signature/Date
Special Conditions. This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
`c p°�51
HARBOR PERMIT
o�
TRANSFER APPLICATION
n
100 Civic Center Drive
Newport Beach, CA 92660
,71
949-644-3044
**Date of Applicaton:
11i2 aoz/ Permit Number:
**Property Address:
i,loo w, 4yer?4"—
AleWge-aA; G4 22(0l0/
**Buyer's Names:
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Names:
Seller's Signatures:
555EAC84E9634D5...
Joint Owner Signature: N/A
**Escrow Company: Ljra, 4,f Esc coos Phone# (gV-g) 783 - s1i6
**Address 5� �
y �f c�(JO/"i' �Pi/I �r %�r,'ye d 00� /1%t �or f /3tucli �
**Escrow Number: o 5f- L/`p 9 -7 -t Lc, **Fax #:
Closing Date (Estimate): i?/g/;2 Email:�a ru.)f,?Le
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: Reinspection Date:
Fee Paid: a V-15 Check No: _ A t'19
Application Complete: �(
arbor Resources Signature/Date
Special Conditions. This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code
Date:
Inspection Requested By:
Inspector:
Pier Address:
Pier Transfer
INSPECTION FORM
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Comments / Observations
Other Request
Public Works
Reinspection
Yes Need None Needed Yes Need
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