HomeMy WebLinkAbout20-1-23 Pier trans appHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
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**Date of Applicaton: 12-17- zo19 Permit Number: ��+mod N►���, t, 2-o 13
**Property Address: 2-801 Cis+ &6,n ezr
**Buyer's Names: 27s1 2801 PQ-1 I-t-C-
Buyer's Signatures:
Billing Address: PC 1�0,c 149 '7 (,,
Telephone No.:
**Seller's Names:
Seller's Signatures -
Joint Owner Signature:
LaA,r• L L_
"Escrow company:-� Phone# lol- 979 -So2o
**Address 9 2-3 -7 sf; ed. /os OV-�< 6 Ch S�74r
"Escrow Number: 3oo36468oil-mA3 **Fax #:
Closing Date (Estimate): I Z)Z3 J 2ooq Email: M Rr low . Mg M,V_ <2 �'•✓ CT M
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date.- l 2 Z(j Reinspection Date -
Fee Paid: � .pb �2 '�� Check No- ' o-7
Application Complete: 20
H rbor 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
Public Works
Date: Ilz- 20
Inspection Requested By: AC
Inspector: Ae
Pier Address: ZW 00615t #LVj\ W
-- Z 1-51 cbgs4 "y W
Pier Transfer
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present '
Other Comments
Comments / Observations
Other Request
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