HomeMy WebLinkAbout18-7-24 pier trnsfr**Date of Applicaton:
**Property Address:
**Buyer's Names:
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company:
**Address
**Escrow Number:
Closing Date (Estimate):
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
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* *STARRED ITEMS MUST BE COMPLETE TO BEGIN
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date:
Check No:
PROCESS.
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
in accorda ce with Title 17 of the Newport Beach Municipal Code.
Harbor Resources Department
Date:
Inspection Requested By:
Inspector:
Pier Address:
Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Pump out
Pier Location
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments 1 Observations
I-
Reinspection
Yes Need None Needed Yes Need
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