HomeMy WebLinkAbout25-5-29 Signed appsDocusign Envelope ID: D18610C1-692F-4159-8A4A-4AE8081314DD
** Date of Application
** Property Address:
" Buyer's Names. -
Billing Address:
Telephone No.:
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Fir. 1, Bay C
Newport Beach, CA 92660
$324.00 - July 2024
2025 Permit Number:
1212 E. Balboa Blvd., Newport Beach, CA 92661
Elva Ruth Wylie Trust A
PO Box 305, Cedar Hill, TX 75106
,541-490-8522
� spA
** Buyer's Signatures: I Sar.a ey. J. M.eor
** Seller's Names: Marl;. Camblin and Alvssa Camblin
** Seller's Signatures:
Joint Owner Signature
** Escrow Company: Mariners Escrow Corporation
** Address: 270 Newport Center Drive, Suite 200, Newport Beach, CA. 92660
** Escrow Number: 66599-31-I ** Fax Number: 949-721-8157
Escrow Officer: Jennifer Hughes Phone Number: 949-640-6040
Closing Date (Estimated): May 29, 2025
**STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
Inspection Date: )q Reinspection Date:
Fee Paid:
Application Completed:
Check No.:
Harbor Resources SignaturelDate
Special Conditions: This permit is revocable by the City Council
In accordance with Title 17 of Newport Beach Municipal Code
Docusign Envelope ID: FB63A351-6B1C-4AA9-97CA-2BAAA28E4815
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Fir. 1, Bay C
Newport Beach, CA 92660
$324.00 - July 2024
** Date of Application: May 8, 2025 Permit Number:
** Property Address: 1212 E. Balboa Bled., Newport Beach, CA 92661
*' Buyer's Names: —Elva Ruth Wylie Trust A
Billing Address. -
Telephone No.:
** Buyer's Signatures:
** Seller's Names: Mark Camblin and Alvssa Camblin
** Seller's Signatures: 10,
`-�E1J8EC]0 �4'14CA 9.9G992�965].C9
Joint Owner Signature:
** Escrow Company: Mariners Escrow Corporation
** Address: 270 Newport Center Drive, Suite 200, Newport Beach, CA. 92660
** Escrow Number: 66599-JH ** Fax Number: 949-721-8157
Escrow Officer: Jennifer Hughes Phone Number: 949-640-6040
Closing Date (Estimated): May 29, 2025
**STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
. . . . . . . . . . . . . . . . . . . .
— — — — — — — — — — — — — — — — — — — —
Inspection Date: 51<3cl' Reinspection Date:
Fee Paid:
Application Completed:
Check No.:
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
In accordance with Title 17 of Newport Beach Municipal Code
INSPECTION FORM
Public Works
Date:
Inspection Requested By:
Inspector:
Pier Address:
Pier Transfer
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present
v
Other Comments
Comments / Observations
Other Request