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HomeMy WebLinkAbout21-10-06 Signed apps_pymt"* Date of Application; Au ixa 3 2o2t _ µTyµ Permit Nurnser: "* Property Address: "* Buyer's Namea: Billing Address Telephone No.: Buyer's Signatures; t � � �zztiy iu,U ��5• t'� eti+ • �.�ti'"C>+�.,.�i,.t CJ� � 2..tols L-. g4rA-17-i- �ctS4 *" Seller's Narrzea: flzta Jeciaztr¢r ,1 idwelT Y2 tid lrtu Y'ruatzLztatl Q4t! i}4Y j 24 **Eeller'a5ignatureo: _ m Joint owner Signature: " Esarow, Gomparlyt Mariners Escrow Corporation «" Address: 210 Nawpprt Center Drhre SuGto 24f1,Naw rt Beach CA 92660 ** serow, Number; 51249-DR "fax Number 649 721-8167 _ Escrow officer,, Drinu'FoNgroft � PnotioNu ber. 949-640.6040 Closing Date (Estfmutsd). , f cSab r 7J;2t121. "STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESSK Inspection Data. , �� / �� EeInspection Crate: Fee Pald. o1i2� _ Dd�ect No-70-(er! ApplIcataoa r omplatau. fier rR o sssprraivrrrl- to Special Conditions,, atrls parintt is revQc�bia by #!te Glty Coun�lt in accordat va Wiith Title f7 of Newport Boat i Mvnlcipal Code C0j-jpjjC-TE,SjCj%ANDRET AN DocuSlgn Envelope ID: F6C102212.7000.4C66-BD6G-896170783154 HARBOR PERMIT TRANSFER APPLICATION 100 Civic Center Drive, FIr. 1, Bay C Newport Beach, CA 92660 * pate of Application: AEMA 3, 2021 Permit Number; " Property Address: 51.8 Soni,la Bay 'Front, Newport $each ( Balboa Island Area). ). CA 42662 " Buyer's Names: The Nelson Tramity Trust Billing Address: Telephone No,: ** Buyer's Signatures: ** Seller's Names: ** Seller's Signatures: Joint Owner Signature: "* Escrow Company: *" Address: Escrow Number: Escrow Officer: Closing pate (Esth Phone Number: *'"STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS, Inspection Date: ® I �) Relnspection pate; ree Paid: Check No.: X�f`0 Application Completed: Harbor Resources SlgnaturelDate Special Conditions: This permit is revocable by the City Council In awordanoe with Title 17 of Newport Bearh Municipal Code INSPECTION FORM Public Works Date: Inspection Requested By: Inspector: Pier Address: Pier Transfer Reinspection GFI Present Yes Need None Needed Yes Need Anti -Siphon / Backflow Present Other Comments Comments / Observations Other Request (Y) �. CD r— ! � ] \ . } . w . .. // LL [00 G § / . ©w \ / / ID ^CL .) < \o — \ {f ) . )b8 J o §$/ ± ¥ /\) ƒ z. V ce ( . g§E. . m a) //} /j( $ ) 5 E E / 0 3 co of \