HomeMy WebLinkAbout22-5-18 Signed app#2 Lis /
Fromm David Prince davidinnb@cs.com
Subject: Hi can you print these two dots for me?
Gate: Apr 2, 2022 at 2:26:38 PM
To: LAURIEBEVERAGE@gmaif.com
HARBOR PERMIT
TRANSFER APPLICATION
10D Civic Center Drive
Newport Beach, CA 92660
949M644-3€ 44
*"Date of Application _ � 1 � )Z 2
**Property Address: -,I q o '1. _ _ NA L)2 C n S
"Buyer's Names'
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Buye Signatures:
Billing Address: _ ' ca=lkb',,,�v�
Telephone No.
**Seller's Names. �11�h� %s55
Sailors
Joint Owner Signature. W( a
*"Escrow Company- 03►gC' C.6r+ST- t iTt.e Phone# q 16 _ efle - OL4 l .z
"Address lam" o �o C.e': S L
**Escrow Number.- 220 d 1623- &W Grm � >a i2' aeYa , G1k `Ir,Gsi O
"'dosing Date (Estlmate):ZL2zI2-z *"ErnalL, 1 ARLA !y h C_ T JT'I_E'_ , COM
" *STARRED ITEMS MUST BE COMPLETE TO _BEGIN THE PROCESS.
—J Inspection Date. Reinsp�ecllon'Date:
... _._._
Fee Paid: Check No:
Application Complete: OYCW
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INSPECTION FORM
Public Works
Date:
Inspection Requested By: L
Inspector:
L
. - •'rr'.
Pier Transfer
Reinspection
GFI Present Ye. eed Jone Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments
Comments / Observations
Other Request