HomeMy WebLinkAbout17-1-18 Signed appHARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: 1/03/17 Permit Number:
**Property Address: 1018 & 1020 East Balboa Boulevard
NMWDrt Raanb i CA 92661
**Buyer's Names: ill and Jez-ri moGrane
Billing Address: q nl- fo-� �-j p." Dz
IAIko0UPAo---- P- cW , Co 80«9
Telephone No.: 303 - 5b f - 05 q 2
Buyer's Signatures: QRussell MoGra„e
4�1erri McGrane
**Seller's Names: William c. Peterso
Seller's Signatures:
1020 East Balboa Boulevard, Newport Beach, CA 92661
Joint Owner Signature. -
Russell and Jerri McQr n (billing address above
"Escrow Company:versa settlement, Inc.
**Address
**Escrow Number:
Closing Date (Estimate):
Phone# 949-554-1275
1200 Newport Center Dr. #100, Newport Beach, CA 92660
1328-PK **Fax #: 949-554-1275
1 /10/17 C Ve
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*STARRED ITEMS MUST BE COMPLETE TO -BEGIN THE PROCESS:_
Inspection Date: a I% Reinspection Date:
Fee Paid: heck No: l�e-7uotP
Application Complete:
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: fl�
Inspection Requested By: L—
Inspector: L
Pier Address: to o o
Ctier Transfer'
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments �
Eelgrass
Date Time ❑
El
El
Pump Out
Pier Location
Eelgrass Within 15' of Project
Eelgrass Within 15' - 30' of Project
No Eelgrass in Project Area
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request