HomeMy WebLinkAbout23-9-29 Signed app & pymtDocuSign Envelope ID: C1A4686C-B9F9-4807-88D8-AF1CAAEIBEDD
ARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Application: q 4 a �
**Property Address: 0
**Buyer's Names: GIO V Mhof C� wEtQ N. u hurl bIQ
qms fi�,Q�' � 4Q Clam tc-e« +e iuQuh je���
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company:
**Address
**Escrow Number:
**Closing Date (Estimate):
nedo: 0n6) TAjVf:e4C O1
s 0- J�s Gi
030F21AAECA44 0,4 9�),Vocclap- 0
0. Jon
6k�,
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
---i------~-s---a------i—i---
Inspection Date: Reinspection Date:
Fee Paid: 12-LCheck No: L P--71
Application Complete: a��
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.
) 004
DocuSign Envelope ID: F388DB75-FFC5-4282-BF2D-1C3AD3DE5D37
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Application: 1140?)
**Property Address: o n
**Buyer's Names:
Buyer's
Billing Address:
Telephone No.:
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company:
**Address
**Escrow Number:
**Closing Date (Estimate):
iUL", t C WEtllp A.QOMa
e CIOr
oU-41PY �-C> w(thol %ft—
CE89D6C611AA4A7...
26 wildland, Irvine, CA 92603
949-701-2101
�T
R.
0. ion, , ,
VP bf (yoW Phone# q4A QN )004
3 a.� Email-. CP�QIJ ���`"'t7
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date:
Check No:
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.
INSPECTION FORM
Public Works
Date:
Inspection Requested By:
Inspector:
Pier Address: 40
Pier Transfer
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backfiow Present E�=
Other Comments
Comments / Observations
Other Request