HomeMy WebLinkAbout16-01-25 Pier transfer app & signedHARBOR PERMIT
\ TRANSFER APPLICATION
829 Harbor Island Drive
-,rF oult�k` Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton: Permit Number: 6063706 - DO
**Property Address: 2/,p/ bj,,s,r 4ogfr W wl
itlzw&g r 1Frw v- lea 9, U4-3
**Buyer's Names: Nff In LC
Buyer's Signatures:
Billing Address: 2565 k)csr r Asr�wy, SU�f�2D/
/1lemoner MAw &P 9263
Telephone No.: 9,V9. (v31- 6274
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
'E,t/>' 4.
**Escrow Company: f1Darry/f/jfj&1 Phone# �2z.5ax�
**Address /�c� 7,�vE �►-r�.��r SviT�3�0 Al, a, C# 926�D
**Escrow Number: Z?07///7-60� J K **Fax #: 9,66, 93.5 6 3 / q
Closing Date (Estimate):
Email:
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 75
Fee Paid:
Application Complete:
Reinspection Date:
Check No:
Harbor Resoles Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.