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HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: V/57 / 7 Permit Number:
**Property Address: 1 ��G lOoc� 91vd11
**Buyer's Names:
Buyer's Signatures:
Billing Address
Telephone No.:
**Seller's Names: L�boo, E"j, ,r LLB'
Seller's Signatures: X,
Joint Owner Signature:
Ass
**Escrow Company: Z,5_4,, Phone#yY,j-
**Address /Ycrp ,(.lei v�� A�: 4,/8s
**Escrow Number: ,**Fax #:
Closing Date (Estimate): 3/7 o// 7 Email:
_.*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS;_
Inspection Date: Reinspection Date:
Fee Paid. -
Application Complete:
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.