HomeMy WebLinkAbout2017-04 Signed pier trnsfrsHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949- 644-3044
**Date of Applicaton: 71�611 l Permit Number'.
**Property Address: /35b W • /,bad live. _
e al
**Buyer's Names: (.1-1rd/
Buyer's Signatur_�:_ `k1
S � I
Billing Address*--- i1 Dyo Fo k i d L's :1 d L #jq
VA
Telephone No.: a 13 - Lf 1 ta- D -�37 d _
**Seller's Names: ,M �l/��' ` ' Jtndl r%da>"s, I �� I#nn A�tartG�al/
Seller's Signatures:
Joint Owner Signature: _
**Escrow Company: czfu V,/ Phone# Cg`g) 6K-I /I
'Address j VV/.UWm t?
**Escrow Number: T)0M&5 —6 **Fax # I' �a98 /y4'1
Closing Date (Estimate): 5 30 17 Emaii:
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS,
Inspection Date: 4l�(M Reinspection Date:
Fee Paid: Check No:
Application Complete: _
Harbor Resources Signature/CatB
Special Conditions: This permil is revocable by the Cily Councii
in accordance with Title 17Of the Newport Beach Municipal Code_
May 26 17 10:44a Diana Marshall
9493053178 p.8
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: 7///W/7 Permit Number:
*'Property Address: /06b CCU • JCI
uJ 'L- 6 P_1,0� �l0
**Buyer's Names: (1,erwd A/UCe L 4"l%n
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Names: be`fLr JWell Ad
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: &!' 6SC20 V'I Phone#(gW)6fe-/SDI
**Address b/ �'h 1� ✓�_ WO)4
"Escrow Number: M—**Fax 1#f q/ ` W- / jiP
Closing Date (Estimate): i 3D /l Email:
* "STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date:
Check No;
Harbor Resources SignaturelOa(e
Special Conditions_ This permil is revocable by the Chy Council
ir, accordance with Title 17 of the Newport Beach tWunicrpai Code
INSPECTION FORM
Harbor Resources Department
Date: ���
Inspection Requested By:
L
Inspector:
Pier Address:
Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Reinspection
Ye Need None Needed Yes Need
1/
Eelgrass
Date Time ❑ Eelgrass Within 15' of Project
Eelgrass Within 15' - 30' of Project
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