HomeMy WebLinkAboutPier trnsfr app 4-2015gL-tq . 9-0. 733q
HARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton: Permit Number: a
**Property Address: C(Ia $ct��51a Q'yr. N6L) o,24 ILA' (yl )ciN gZ(4c¢d
**Buyer's Names:'RRF_f� �9-06t- V-W-�Tu4, 4LC_
Buyer's Signatures:
Billing Address: ,L ? _Lo ,6',ce)I4 S b
ev -roc-h 9z�b�
Telephone No.: Zoo S.&
**Seller's Names: Kiewo-. t 10ML-61-If Ai=141-k /-LC-
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: '1-+I a Phone# 7,441 4?) - 3& 4(.
**Address 1 3Cjo 7o 3i o,
**Escrow Number:-.(,,, **Fax #:
Closing Date (Estimate): Z.,117, is Email: (/;c ler, r , �y�,p o F N F. ca-vi
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 48)(5 Reinspection Date:
Fee Paid: i1-585 Check No: 4-7y
Application Complete: I-f�.c,�
Harbor Res urces Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.