HomeMy WebLinkAbout17-7-6 pier trnsfr appHARBOR PERMIT
} TRANSFER APPLICATION
n 100 Civic Center Drive
c� Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: 7J5/ / '7 Permit Number:
**Property Address: ZI aD E. ??A2Qe R R/, t10
**Buyer's Names:
Buyer's Signatures:
Billing Address: 1 o I The J4 rp ve- 1) o he-
L- A, C- A a V 0.3 [�
Telephone No.: 3 2 3- ( L-r-b — 81
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
On(,Lrec, MP:nolCZG�-
**Escrow Company: Phone# Y18'-fin-j4—&tV
**Address ;525 ti. Yriz,-n ca( WoeL,,
**Escrow Number: b I I FD - 2750a **Fax #: C)1 �3-
Closing Date (Estimate): 7J2 qh 7- Email: 0 rV.evi d C Z A �O
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date:
Check No:
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.
Date:
Inspection Requested By:
Inspector:
Pier Address:
/Pier Transfer
INSPECTION FORM
Harbor Resources Department
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
7 51
L
Reinspection
Yes - Need None Needed Yes Need
Date Time n Eelgrass Within 15' of Project
F1 Eelgrass Within 15' - 30' of Project
F1 No Eelgrass in Project Area
Pump Out
Pier Location
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
17 F-•: r q,_
Newport
Disclaimer: Every reasonable effort has been made to assure the
Beach accuracy of the data provided, however, The City of
GAS Newport Beach and its employees and agents
disclaim any and all responsibility from or relating to
/�WPo` any results obtained in its use.
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40 80r Imagery: 2009-2013 photos provided by Eagle
Imaging www.eagleaerial.com
i Feet
7I6/201