HomeMy WebLinkAbout21-3-5 Signed applicationDocuSlgn Envelope ID: 63314A44-DCOF-4D6C-9729-A162FF9A2585
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton:
**Property Address:
**Buyer's Names:
Buyer's Signatures:
Billing Address: j 0 2 �C L, L' S I-(- 2-a 2
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Telephone No.: t',3 C-) - r'7�/ �
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company:
**Address
**Escrow Number:
Closing Date (Estimate):
- TAn� **Fax
Email:
* *STARRED ITEMS MUST BE COMPLETE
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Inspection Date: -1 Reinspection Date:
Fee Paid: <jjD-(.P0 Check No: J4(pIV3 �. `I-UI(/,q
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.
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FREEDOM ESCROW -TRUST ACCOUNT
046169
Date:0.1/22/2021 Escrow No. 064318-JW Check Amount $** *** *10.00
OFFICER: Jason Watrous
Property: 144 S. Bay Front, Newport Beach, CA 92662
Seller: Gillian R. Kaltman, Trustee of the Gillian R. Kaltman Balboa I. Trust
created under the Nancy Heinz Russell Qualified Personal Residence
Buyer: Brianna Becker or assignee
for Pier Transfer Report 1000
FREEDOM ESCROW - TRUST ACCOUNT 046163
Date:01/,2112021 Escrow No. 054318-JW Check Amount $** *** 25000
OFFICER: Jason Watrous
Property 144 S. Bay Front, Newport Beach, CA 92662
Seller: Gaye Russell- Bruce and Gillian R Kaltman
Buyer: Brianna Becker or assignee
for Pier Transfer Report 250.00
INSPECTION FORM
Public Works
Date:
Inspection Requested By:
Inspector:
Pier Address:
Pier Transfer
GFI Present Yes Need None Needed
Anti -Siphon / Backflow Present®�
Other Comments®�
, ID- 6-1
Comments / Observations
Other Request
ReInspection
Yes Need