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HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Cea7ter Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: 5 510 Permit Number:
**Property Address:.�yJ / /(,a f=
**Buyer's Names: Oro T Q (.C-�
D«us'oned by:. .
Buyer's Signatures cirfin.,mrTME2436
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Billing Address: 1422 edinger ave suite 150
,rustin ca 92780
Telephone No.: (949) 241-1812
**Seller's Names:
Seller's Signatures:
ocuSigned by:
Joint. Owner Signature: F�r)-9-r4� Mar-/ 5, l\(elsor,
3153DW NA22453— i
**Escrow Company: (= Y0-,1,4C Phone#
**Address I `,()tkjrG(i00 r" Jlr
**Escrow Number: 4'>�f�**Fax #: �r ->i- '''�� `�•� ��f
Closing Date (Estimate): ,r,, �.," •j' 3 Email: +(;!r;i f (i,� C2)00-y) Ff.
*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
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Inspection Date: 5 l? 23 Reinspection Date:
Fee Paid: 425d Check No:
Application Complete: O
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
Public Works
Date: " �3
Inspection Requested By: L
Inspector: L
Pier Address: 21 % (o r--,C� gjVj
Pier Transf
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments
T
Comments / Observations
Other Request
Granite Escrow & Settlement Services - Newport Beach Office - (949) 720-0110
Date: 5/01/2023 Escrow No.: 04-47852-TLD (TL ) Closed: 6/05/2023
Payee: City of Newport Beach Habor Resources Dvivision
100 Civic Center Drive
Newport Beach, CA 92660
Seller: Joel L. Nelson and/or Mary S. Nelson, Trustees U/D/T
Check No. 88622
Amount: $250.00
dated September 19,1996, F/ Miscellaneous Fee
Buyer: The Balboa Peninsula Trust dated September 14, 2012, Property: 2116 E. Balboa Blvd, Newport Beach, CA
Christian Briggs, Trustee 92660
Ref:
Memo 1:
Memo 2:
Detail: Harbor Transfer Fee 250.00
We Appreciate Your Businessl