HomeMy WebLinkAbout16-10-26 Signed appsHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: u &Z Permit Number: _
**Property Address: �� ? 5 y ��/�I,y,�l G��
**Buyer's Names:
g
er BuY's Signatures:
Billing Address: 0-:7- fTi� re-'sA
Telephone No.: 1 D s (�
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: �,� � Phone# W•c Zyl '31
**Address
**Escrow Number:* v x #:
Closing Date (Estimate): %Email: , ;51(i-Crlu'01
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
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Inspection Date: L
Reinspection Date:
Fee Paid: Check Check No:
Application Complete:
Har or esources Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: i•'Permit Number:
**Property Address: G'.ull�G.�i�
**Buyer's Names: /111 & �.�.
Buyer's Signatures:
Billing Address:
Telephone No.:
"Seller's Names: - c-i k)�
Seller's Signatures:
A . 2aad-
Joint Owner Signature:
r
**Escrow Company: .� Phone#
**Address g117
**Escrow Number: Wf�**fix #
Closing Date (Estimate): ,L13 N, 8
*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS._
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date: _
Check No:
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
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PLEASE SIGN AND � ���° :\I
INSPECTION FORM
Harbor Resources Department
Date: I O
Inspection Requested By: L
Inspector:
Pier Address: oZa'�1'`I- (h►' ICJ�Q
Pier Transfer
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments
Pump Out
Pier Location
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request