HomeMy WebLinkAbout18-9-19 Pier transfr app-signedHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: 91 [O 1 � Permit Number: 9
**Property Address: Z-0; -A- 2m, c ,;,ace ,A•,�
**Buyer's Names:
Buyer's Signatures:��*�
Billing Address.. �g��, C
Telephone No.",,j • 114- q4--3- � �(--
**Seller's Names:CA (- r) i�, t�JeA
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: '�' (,; ,�.%�ck Phone# LJ
**Address `3"2 4- c.,,kzr, A, , +-,Gf Ci ( 4 .�Gc�E;4 r ,ra, (-,_g q It }
y
**Escrow Number: 5ti : L' j **Fax #: -f
Closing Date (Estimate): Email: ,,,61, �� ,.,�,e2 - - ,,,
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS;_
Inspection Date: 9 119Il Reinspection Date:
Fee Paid: Check No: CftoG��
Application Complete: (_42
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.
DocuSign Envelope ID:42D5D52D-3459-4080-9732-1B6134D555F5
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HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: 1 1D I 1 � Permit Number: 2d,'D 1%
**Property Address;'21& a Zm 1E4 cL4ec- AN-r_
Cl 9
**Buyer's Names: Pob-Q1'e-+ M. SCkC-ob
Buyer's Signatures
Billing Addres-,---
Telephone No`
�.` Marnie Fuerst Duenas, as Successor Trustee of the.Fuerst Family Tru
**Seller's Names• V �4F5875
ned by:
Bailer's Signatures: c ��� s� as ucu,ssor vu.fu. aF�u. �ua,vsf �
Joint Owner Signature:
**Escrow Company:'&,V4, .r& 5QCOW Phone#U) L-i31-X1W
**Address 52v S , i_c, l� Arc, 2 d p-i P�,sad en Ca ct 1 1,Z)
**Escrow Number: L.PQ 0-<t's1 **Fax #: (.dZb-` %4L4
Closing Date (Estimate): Email: a t�c sixaw- Coyv\
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 9 11'1)1I3 Reinspection Date:
Fee Paid: 4 a2yqCheck No:
Application Complete:
Harbor Res ur es 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 ResourLeDepartment
Date: 1
Inspection Requested By- (_
inspector: V
Pier Address:
Pier Transfer
Reinspection
ff' GP€ Present Yes deed Done Needed Yes need
---;anti-Sipi or- % Back -flow Present /
Other Comments
Pump Out
Pier Location
Yes No
Operational'
Recommended Action
Encroachment
Address of Complaining Partly
Boat DesCriptior+
CP Number
ocation or Dock
Oti~er Request