HomeMy WebLinkAbout25-5-15 Signed app:usi7:n Envelope ID: 97D876A7-82F9-4627-8E28-9A39C1CAOEOE
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HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Application: 04/29/2025
**Property Address: 13 Bay Island Newport Beach, Ca
**Buyer's Names: KEN AND TERA VERHEYEN
Signed by:
Buyer's Signatures: L U w�
5A88F5872D4F4B2...
Billing Address:
Telephone No.:
**Seller's Names: KATHLEEN RASMUSSEN TRUST
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: OPULENCE ESCROW
**Address 9454
**Escrow Number:
**Closing Date (Estimate):
Phone# 310-598-6002
WILSHIRE BLVD 201 BEVERLY HILLS, CA 90212
003840-MR
6/2/2025 **Email: LINDSAY@OPULENCEESCROW.COM
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: Reinspection Date:
Fee Paid: Check No: lSS O
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.
Docusign Envelope ID: 3AD4C415-3AF2-418C-A683-FBE936908047
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o r� HARBOR PERMIT
TRANSFER APPLICATION
ZZ100 Civic Center Drive
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=r���,«�1� Newport Beach, CA 92660
949-644-3044
**Date of Application: 04/29/2025
**Property Address: 13 Bay Island Newport Beach, Ca
**Buyer's Names: KEN AND TERA VERHEYEN
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
KATHLEEN RASMUSSEN TRUST
134F43EE34F7.,.
**Escrow Company: OPULENCE ESCROW Phone# 310-598-6002
**Address9454 WILSHIRE BLVD 201 BEVERLY HILLS, CA 90212
**Escrow Number: 003840-MR
**Closing Date (Estimate): 6/2/2025 **Email: LINDSAY@OPULENCEESCROW.COM
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: Reinspection Date:
Fee Paid:- Check No: 15,5 y
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:
INSPECTION FORM
Public Works
r
Pier Transfer
Reinspection
GFI Present Yes Need I —None Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments
Comments / Observations
Other Request
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