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HomeMy WebLinkAbout20-1-28 Pier trans appr'�WPr HARBOR PERMIT TRANSFER APPLICATION 100 Civic Center Drive v r Xz)Newport Beach, CA 92660 cq t �N�� 949-644-3044 **Date of Applicaton: m-a-Zot9 Permit Number: d�eg P%,"o. ►, 2o1.3 **Property Address: 2,-75 1 Wes-t- Cyst WE,1(002-r cAcj- **Buyer's Names: z751 , poi Pej-} L.L-C- Buyer's Signatures: Billing Address: F0 boy, If� 749 Telephone No.: **Seller's Names: KhoS� b i 5 Seller's Signatures: Joint Owner Signature: **Escrow Company: P, flcL,-t Naf���T�ie_ Phone# `jo4_Q78-30? **Address OA41? ;o G4 g1761 **Escrow Number: 3oo3S��o-ntt-, Fax #: go9�3 Closing Date (Estimate): 1212,12019 Email: NIAr'yLow. AJame 1;,)1' e-aM :STARRED ITEMS MUST BE COMPLETE TO BEGIN -THE PROCESS;_ Inspection Date: VZ3120 Reinspection Date: Fee Paid: Check No: 0� (O Application Complete - Harbor 2 ML 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: 1I ZB zo Inspection Requested By:C Inspector: SIC Pier Address: ZOO 0061f {- -AIM! W 215/ cogs- . w� w Pier Transfer Reinspection GFI Present Yes Need None Needed Yes Need Anti -Siphon / Backfiow Present ' Other Comments Comments / Observations Other Request Mai W/_Tirv-yy) -pekr,"aw � � 1- 51 - 6 222 -T"rs 0 10 : 0 0