HomeMy WebLinkAbout17-3-3 pier trnsfr03/07/2017 14:56 PAX 7609441579 NLS ASSET Q 0001/0001
HARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
*Date of Applicaton: 3 3 Permit Number: 0
**Property Address: ,
cl
**Buyer's Names: ,y P/lI(`1c, h U_G
Buyer's Signatures:
Billing Address: S" W pqk kW4, O (
Zb4 3
Telephone No,: S9 y l)
"Seller's Names: LL C 4 J�e��--
Sellers Signatures: j_ql, CL
Joint Owner Signature:
"*Escrow Company: A-�-Twyl
"Address
"Escrow Number:
C4es+ttg Date (Estimate):
100 van >
Z3 ) o
1(o Email:
-rj1-kone# Cqi-ri ) 6eb --z%0
, /-hie.. 4 6, 00. 1 r✓,lam q Zro , Z
**Fax #:
? Qevee-1
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS; -
Inspection Date:
Reinspection Date:
Fee Paid: heck o:
Application Complet
Harbor Resourc Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code,