HomeMy WebLinkAbout19-1-16 Pier trnsfrHARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton: Permit Number: c:/O/�2 F 3017/
**Property Address: 5 /y / W� Hles N ��/ )/
* Names: C119V W0,oe� S 44
Buyer's Signatu
Billing Address: \:5-o :7-3 "'� 5 77 # o�
Telephone No.:
**Seller's Names: 10ZA ZI9 loz:-L S0 L
<5, f'o L., 41,0 G F4S 5, "11V4 T ,L-Z c� A/
Joint Owner Signature:
**Escrow Company: NIA Phone#
**Address
**Escrow Number: **Fax #:
Closing Date (Estimate): Email:
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
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Inspection Date: Ile I(q Reinspection Date:
Fee Paid: �*60 Check No: C9-09 `5
Application Complete:
Harbor Res&tkces Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.