HomeMy WebLinkAbout16-4-4 applicationHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: py.py . t(o Permit Number:
**Property Address: 1&�\ N3. [ •t Ft4c�� I-e_44CA
NEW Po(z� SEACN 24� 7_
**Buyer's Names: 9Opy 4- C�Nkp�
Buyer's Signatures:
Billing Address:'
Telephone No.:
**Seller's Names: iv(�21,�� �Jf��1L� VST�r21,T1JC
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: �IZF.('Dori F-SC12o 1,o Phone# gyct.(oyy-3c�cj
**Address 1206 N)Ek,,;p0g-r rF`NT�57 D2 , 5, - �RD .1J •�., CA L12 p
**Escrow Number: **Fax #:qyq .69yI/._?gg38
Closing Date (Estimate): Email: MM eFIZf�n,tESc2flc.,�. Corot
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date:
Check No:
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.