HomeMy WebLinkAbout16-11-3 App**Buyer's Names
Billing Address:
Telephone No.:
Buyer's Signatures:
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
10/12/16
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044
Permit Number:
1310 EAST BALBOA BOULEVARD
NE 00W BEACH, CA 92661
5195 Las Vegas Blvd South
Las Vegas, NV 89119
702-597-6144
Priscilla Allen Ahern Trust
By: Bruce Cowgill, Co -Trustee
**Escrow Company: Versal settlement services
**Address 1200 Newport Oenter Drive,
Phone# 949-554-1275
#100, Newport Beach, CA 92660
**Escrow Number: 1294-PK **Fax #: 949-554-1275
Closing Date {Estimate): November 14, 2016
*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 11 31 Icy
Fee Paid: ¢L
Application Complete:
Reinspection Date:
Check No: lt�ly
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
Harbor Resources Department
Date: ®0�
Inspection Requested By:
Inspector:
Pier Address: t® • ��
Pier Transfer
Reinspection
GFI Present Yens Need None Need _ Yew Need I
Anti -Siphon I Backflow Present
Other Comments I I
Versal Settlement Setwport Beach Trust Account
Check No. 16386 16386
Date: 10/12/2016o. 1294-PK (PK ) Closed: 1/05/2017 Check Amount $234.00
Payee: City of each
829 H I Drive
Newp A 92660
Seller: Bruce -Trustee of the Priscilla Allen Ahern Miscellaneous Fee
Trust 13, 1988
Buyer: Troy Erbst, Trustee of The Troy D. Herbst Property: 1310 East Balboa Boulevard, Newport
Trust 129, 2001 Beach, CA 92261
Ref:
Memo 1:
Memo 2:
Detail: Harbop 234.00
W. 4nnrorin+e Ynnr RneinoccI
Boat Description
CIF Number
Location on Dock
Comments / Observations
Other Request