HomeMy WebLinkAbout18-3-7 Signed apps'L
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**Date of Applicaton:
**Property Address:
HARBOR PERMIT
TRANSFER APPLICATION
**Buyer's Names: M
Buyer's Signatures:
Billing Address:
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
Permit Number:
I MG rcu SU v-0
%o 3
Telephone No.: 2G 3
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: Co Q.S-�- C1 -I -CS Phone# C) `- C� -7J
**Address C o I'' Ora -E---e P I �- 6 --e 20C)
**Escrow Number: • --I L4 12 0 n **Fax #: G I-+ Cl -7 6 Q -Ci
Closing Date (Estimate): ._HJ2 Emalk, j-cnno d (P r o QSAC 14- t
-e-s Crow
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: Reinspection Date;
Fee Paid: Ch ck No: '�` I o
Application Complete:
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.
**Date of Applicaton:
**Property Address:
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
2 I Permit Number:
MG rcu S 0 v--e
NP CO 92&U3
**Buyer's Names: M
Buyer's Signatures:
Billing Address: _ '6� )) /Y\)5-
Telephone No.: Y H G 2 q ?) 3
**Seller's Names: A- n(_ Tr(A S+ .
Seller's Signatures:
Joint Owner Signature:
`6::SCt-0W
**Escrow Company: Co C�S+- C 1-�-I -CS Phone# q --+°1 -1 J - Cl`4`4 9
**Address `t C0 r C(-0+-� pI� Sfi� 2C�v
**Escrow Number: -114 2 j [') **Fax #: G �--+ q % E5 q -a "1 -79
Closing Date (Estimate): '-f / 2 Email: I -Cnna C1 C@ C O O S- C 1 +-i r
-�f_sCrOCIO &rll)
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: Reinspection Date:
Fee Paid: Check No:
Application Complete:
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.
INSPECTION FORM
Harbor Resources Department
Date: uc ;'�
Inspection Requested By: L
Inspector: `/
Pier Address:
Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
Pump Out
Other Comments
Pier Location
-3 F)o 1 A) aY7_ws
Reinspection
Yes Need None Heeded Yes Need
m� m
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request