HomeMy WebLinkAbout16-9-22 applicationHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Flr. 1, Bay C
Newport Beach, CA 92660
PLEASE RUSH IF POSSIBLE
** Date of Application: September 22, 2016 Permit Number:
** Property Address: 4006 River Avenue. Newport Beach, CA 92663
** Buyer's Names
Billing Address:
Telephone No.:
** Buyer's Signatures.
** Seller's Names:
** Seller's Signatures
Joint Owner Signature
Dmitri Kitariev and Nonna Kuznetsova
The Phoebe B. Anderson 1995 Liv
** Escrow Company: Mariners Escrow Corporation
;t, dated December 18, 1995
** Address: 1100 Newport Center Drive, Suite 200 Newport Beach CA. 92660
** Escrow Number: 51761-BF ** Fax Number: 949-721-8157
Escrow Officer: Brian Foxcroft Phone Number: 949-640-6040
Closing Date (Estimated): January 9.2017
"STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
Inspection Date: Reinspection Date
Fee Paid: Check No.:
Application Completed
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
In accordance with Title 17 of Newport Beach Municipal Code
INSPECTION FORM
Harbor Resources Department
Date:
Inspection Requested By:
Inspector:
Pier Address: rvt co
Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
Reinspection
Yes Need None Needed Yes Need
Date Time ❑ Eelgrass Within 15' of Project
❑ Eelgrass Within 15' - 30' of Project
❑ No Eelgrass in Project Area
Pump Out
Pier Location
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CIF Number
Location on Dock
Comments / Observations
Other Request
r.;
IDS tow
Newport Disclaimer: Every reasonable effort has been made to assure the
Beach accuracy of the data provided, however, The City of
GIS Newport Beach and its employees and agents
disclaim any and all responsibility from or relating to
any results obtained in its use.
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Imagery: 2009-2013 photos provided by Eagle
Feet Imaging www.eagleaerial com
9/27/201