HomeMy WebLinkAbout17-5-24 trnsfr sig'sHARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton:
**Property Address:
Newport Beach, CA 92661
**Buyer's Names: pre -sty Dickersm and Jeni,ifer picker -am
Billing Address: 7301 SW 57th ct, #400
South Miami, FL 33143
Telephone No.:
Buyer's Signatures:
5/5/17 Permit Number:
928 East Balboa Boulevard
**Seller's Names: BAY FK*M, L.P.
Seller's Signatures: JC:�
Joint Owner Signature:
**Escrow Company:
**Address
**Escrow Number:
Closing Date (ft0nmW):
RUDY SVR=
(949) 378-6230
VERSAL SETTLEMENT SERVICES Phone# 949-554-1275
1200 NEWPORT CENTER DRIVE #100, NEwpoR'P BEACH, CA 92660
1374-PK **Fax #: 949-554-1275
MAY 26, 2017
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Dater Reinspection Date:
Fee Paid: Check No:
n
Application Complete:
Harbor ReYources Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
HARBOR PERMIT
TRANSFER A.PPLI eA TI OIL
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044
*Date of Applicaton: 5/5/17 Permit Number:
**Property Address: 928 East Balboa Boulevard
Newpart Beach, CA9266T
*Buyer's Names:_928 East Balboa Boulevard LLC
Billing Address: 7301 sw 57th Ct, 1400
South Mizini, FL 33143
Telephone No.:
Buyer's Signatures: j
"Seller's Names;�_JNER?C» r , L.P.
Seller's Signatures::/.,,
81= OR=
C%9) .378-6230
Joint Owner Signature. X' I
Bruge"09i ie
*"Escrow Company: vERsAL err r _,mmcFs Phone#949-554-1275
'Address 1200 MWPOW CQ+1M LU.W #100, ,a BEACH, CA 92660
*"Escrow Number: 1374-PK **Fax #: 949-554-1275
Closing Date (M'i ie): MAY 26, 2077
" *STARRED ITEMS -MUST BE COMPLETE TO BEGIN THE PROCESS
---------------------
Inspection Date: _
Fee Paid _
Application Complete
Reinspection Date:
Check No.
Harbor Resources SignatvrelDate
Special Conditions: This perrnit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
INSPECTION FORM
Harbor Resources Department
i
I
r
Date:
Inspection Requested By: L
L
Inspector: b, ,Rlk�
Pier Address:
Pier Transfer
GFI Present
Anti -Siphon 1 Backflow Present
Other Comments
Eelgrass
Reinspection
Yes --Need None Needed Yes Need
Date Time Eelgrass Within 15' of Project
Q Eelgrass Within 15' - 30' of Project
No Eelgrass in Project Area
Pump Out
Pier Location
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CIF Number
Location on Dock
Comments / Observations
a. ,.5968
Other Request