HomeMy WebLinkAboutPier trnsfr app & sigsH R.BOR PERMIT
f�TRANSFERAPPLICATION
. 829 Harbor Island Drive
ai Newport Beach, CA 92660
1;_ .1 OTL
949-644-3044/fx 949-723-0589
**Date of Appliicaton: oZ-� )4:-) S- Permit Number: 5 Y7- 512_
**Property Address: S►2 s-rrZcr_-r- "-S- , rA g2r,,r3
**Buyer's Names:
Buyer's Signatures:
Billing Address: 95,0--2 E,
Telephone z i9----AIZ-3
**Seller's Names: t-l?"w;j_�Ly ggf3 -T-2,,,S-r-
Seller's Signatures: ,/(e. e"
Joint Owner Signature:
**Escrow Company: FrzV6pLjkA Esc2oc o Phone# q y_ 9�-j
**Address 1DR., , /BO
**Escrow Number: 6 I107- **Fax #:
Closing Date (Estimate): /p.i3./5 Email: MM&FfZ&E E_scrzoL-J_co,�
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
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Inspection Date: q l 15 Reinspection Date: !�
Fee Paid:* heck No: 18 5-7
Application Complete:
Harbor Resouro ignature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the !Newport Beach Municipal Code.