HomeMy WebLinkAbout25-6-17 Signed appP
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**Date of Application:
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
OCo - C>2. 20 2S
**Property Address: 12`t N •
**Buyer's Names: ZJ'�A,Me S -4- GALE L. u.c r,
Thed.Ajc4�-Family Trust, establish 4te rhber 21, 2011
Buyer's Signatures: JAMES E �3�025 6 9 2025
226BEFC3BFC148E
Billing Address: 108 Garnet Avenue, Newport Beach, CA 92662
Telephone No.: (949) 432-1389
Katherine Lowe, Knowles, Successor Trustee
**Seller's Name gV9E t-oL,•:)e 'TYL1.c�ST
Seller's Signature :�f vt �twG 6,bw�_S, Sww_ssw I'yusfc,c,
3EDDE733C1864CE
Joint Owner Signature
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**Escrow Company:�12�F.Dcar�tSc�2a�J Phone#
**Address D12 100 , AJ-E• , CA `1266,o
'Escrow Number: oS(-SoZ-
**Closing Date (Estimate): G-2? 2S **Email: Mr'tc__� 1FPjS5boMC_sc42_c>L,) - c nip•t
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: _ t7 25 Reinspection Date:
Fee Paid: 43 2- f Check No: 4 LC ► Cc (e
Application Complete:
Public Works 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
Public Works
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Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon I Backflow Present
Other Comments C,0
Comments / Observations
Other, Request
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Disclaimer:
Every reasonable effort has been made to assure the
accuracy of the data provided, however, The City of
Newport Beach and its employees and agents
0 20 40 disclaim any and all responsibility from or relating to
any results obtained in its use.
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