HomeMy WebLinkAbout2-5-5 Signed app & pymt.DocuSign Envelope ID: F7AB43CB-D287-41E1-AF97-262FA1C49648
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HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Application: j /.?-L L7,oz, i
**Property Address: �i'..... 7_ir L4e_ &6h:;4 /�.. Le-,,l Y-& 44 ge4l�l
**Buyer's Names:
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Buyer's Signatures: I faT arY F. &btsf
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Billing Address:
Telephone No.: T%yQ-3Z%-- 57n 3
**Seller's Names:
Seller's Signatures:
Joint Owner Signature: W4-
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**Escrow Company: glue- l,%k,- LCr-eAJ Phone# �q q78 W,/V
**Address M6V e aos4 �'� &c iar� r LL 9Zlo60
**Escrow Number: Zj,-77!5 jm
"Closing Date (Estimate): 3/!'7/?.o4/ "'Email: ,i�.svY,c!�Ql��„GJ�����u4,1,G,• 2
*_S_T_AR_RED ITEMS MUST BE COMPLETE_____T_O BEGIN T_H_E P_RO_CES_S._
-Inspection Date:a � I `Reinspection Date e- - .,
Fee Paid: C10l) Check No:
Application Complete:.
Public Works ignature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
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HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**date of Application: ! L�, %
**Property Address: E � � � �� G✓F quG/
"*Buyer's Names:
Buyer's Signatures:
BillingAddress: 7r�ll i�r, un�,/6,
Telephone No.:
**Seller's Names: 4oual,- tea. 1&
Seller's Signatures:
Joint Owner Signature: 101k
Yves
*Escrow Company: Ktdc- -&d-l% waj Phone# --iz -;VGA
**Address [quo lie, fiok &ko 2!12.5` dle,,
*"Escrow Number:
"Closing Date (Estimate): 3 1'7 z-e?-t "Email: : eAson
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* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS,
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Inspection ..
Inspection Date: S Reinspection Date:
Fee Paid CtOLCheck No:
Application Complete:
Public Works Ngnaturel0ate
Special Conditions: This permit is revocable by the City Council
In accordance with Title 17 of the Newport Beach Municipal Code.
Blue Water Escrow, Inc. Escrow Trust Account - California Republic Bank Check No. 64814
^---Bete:--- �/Z6/202-1--F;sewow-No-:•--P-1-7357 Jfo� (�FM—)—�lesed: 3/1�h202-1---$•260:00
Public Works -.Bay C
100 Civic Center Drive
Newport Beech, CA 92660
Seller: Amealia S. Oxley Miscellaneous Fee
Buyer: Edgewater Trust, Dated January 6, 2021 Property: 427 E. Edgewater Ave., Newport
Beach, CA 92661
Ref:
Memo 1:
Memo 2:
Detail: Harbor Permit Transfer Fee 260.00
We Appreciate Your Businessi
Date:
Inspection Requested By:
Inspector:
Pier Address:
ram/
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ier Trans
INSPECTION FORM
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Comments / Observations
Other Request
Public Works
L
In
Reinspection
Yes Need None Needed Yes Need
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