HomeMy WebLinkAbout17-10-4 Signed appsHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Flr. 1, Bay C
Newport Beach, CA 92660
** Date of Application: September 22, 2017 Permit Number:
** Property Address: 1314 E. Balboa Boulevard, Newport Beach, CA 92661
** Buyer's Names:
Billing Address:
Telephone No.:
** Buyer's Signatures:
** Seller's Names:
** Seller's Signatures:
Joint Owner Signature:
The .Devin D. Mamp Trust
Keith R. Lumnkin
** Escrow Company: Mariners Escrow Corporation
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** Address: 1100 Newport Center Drive, Suite 200, Newport Beach, CA. 92660
** Escrow Number: 53480-13r ** Fax Number: 949-721-8157
Escrow Officer: Brian Foxcroft Phone Number: 949-640-6040
Closing Date (Estimated): October 20, 2017
"STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
Inspection Date: ) O IL+ I Reinspection Date:
Fee Paid: POZ4 Check No.:
Application Completed:
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
In accordance with Title 17 of Newport Beach Municipal Code
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Fir. 1, Bay C
Newport Beach, CA 92660
** Date of Application: September 22, 2017 Permit Number:
** Property Address: 1314 E. Balboa Boulevard, Newport Beach, CA 92661.
** Buyer's Names: The Devin D. Mamp Trust
Billing Address:
Telephone No.:
** Buyer's Signatures:
** Seller's Names: Keith R. Lumpkiu
** Seller's Signatures: /,e.L-,0- / ( �
Joint Owner Signature:
** Escrow Company: Mariners Escrow Corporation
*" Address: 1100 Newport Center Drive, Suite 200, Newport Beach, CA. 92660
** Escrow Number: 53480-BF ** Fax Number: 949-721-8157
Escrow Officer: Brian Foxcroft Phone Number: 949-640-6040
Closing Date (Estimated): October 20, 2017
"STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
. . . . . . . . . . . . . . . . . . .
— — — — — — — — — — — — — — — — — — — —
Inspection Date: �� `i� I Reinspection Date:
Fee Paid: Check Check No.:
Application Completed:
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
Harbor Resources Department
Date:
Inspection Requested By:
Inspector:
Pier Address:
Pier Transfer
i
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Pump Out
Pier Location
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CIF Number
Location on Dock
Comments / Observations
Other Request
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13) L-+ Se ?Cabo c<<-a VZ
Reinspection
Yes Need None Needed Yes Need
Yes No