HomeMy WebLinkAbout21-11-10 Pier trnsfr sigsDocuSign Envelope ID: 30F7E98C-2780-4887-B756-14EAEBDEEC17
DocuSign Envelope ID: 6BABD2DB-BCFO-4F35-9059-FFOF434DA2A8
V
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Application: 10/1/2021
**Property Address: 930 E Balboa
**Buyer's Names:
Buyer's Signatures:
Billing Address:
Telephone No.:
Adon Panattoni
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**Seller's Names: Bruce Ogilvie
Seller's Signatures: y,k
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Joint Owner Signature:
**Escrow Company:
**Address
**Escrow Number
**Closing Date (Estimate)
Phone# 9`r/`y -•2.39 d,D4
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
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Inspection Date: It 1 (10 \Reinspection Date:
Fee Paid: Check No: 41qq-
Application Complete:IaLr a±�A�
Public Works Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
Date:
Inspection Requested By:
INSPECTION FORM
Public Works
L
Inspector: l_
Pier Address: Q:�o C� , ulaxi coca -jai Vice%
Pier Transfer
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments n
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Comments / Observations
Other Request
Rom, ID.30
949-239- /(-oq