HomeMy WebLinkAbout16-02-17 Pier app & sigst,V, %N, I' CIJ�, . .
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HARBOR PERMIT
TRANSFER APPLICATION
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829 Harbor Island Drive
cll Rol)
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton: V 11 Permit Number: i�219-6" 1 SOt>
**Property Address: 1 5--0 <)o„y-�-,
ori- f3cc r-k 64 T--
**Buyer's Names: J-he 1500 f-ron4 'r✓US
Buyer's Signatures: `
Billing Address: Imo, (So J . 5ry err^ f
Telephone No.: ��,�� ; �() j'() q n
**Seller's Names: � a� j �2•ti��.rds ^
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: rrc-c-J,,,A Gsc raw Phone# 4YS-b`I`1-393
**Address 1Z,10
**Escrow Number: **Fax #: 9yy-(� ily-�g38
Closing Date (Estimate): V ZG Email: -,�-L.J&Vrg-atot escx-o" . [.v
_* *STARRED ITEMS MUST BE CO_MP_LE_TE TO BEGIN T_HE PROCESS----------.
- Inspection Date: a-1 11 �1to COMPLETE ------------------
Date: I -
Fee Paid: a-3C7 Check No:
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.
INSPECTION FORM
Harbor Resources Department
Date:
Inspection Requested By:
Inspector: L
Pier Address:
ier Transfer)
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
Date Time
Pump Out
Pier Location
Reinspection
Yes Need None Needed Yes Need
17 J 1%
Eelgrass Within 15' of Project
Eelgrass Within 15' - 30' of Project
No Eelgrass in Project Area
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
106 1 /2
i� 106
ti BAY. FRONIAtiLYS
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1500;- . 1502 1506 •- �' 16
htik. �+ita wi% 'HAY FRONTS
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Newport
Beach Disclaimer: Every reasonable effort has been made to assure the
accuracy of the data provided, however, The City of
GI$ Newport Beach and its employees and agents
disclaim any and all responsibility from or relating to
4�r`wi'c�Rr any results obtained in its use.
° 0 40 80
Imagery: 2009-2013 photos provided by Eagle
Feet Imaging www.eagleaerial.com
2/16/20
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