HomeMy WebLinkAbout20-11-25 App & inspDocu,9ign Envelope ID: F82C25D9-378A-4EF9-854F-3088E7EF0509
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**Date of Application
"Property Address
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
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119 Vio, Ujo Word , Wewpor+ eglo4k, C-A Raloolo
**Buyer's Names: Travis Winsor "a NtC.otte Wef%sor
Buyer's Signatures: F=:;a
Billing Address: 19At WIMWard r Qewoo tenet., CA W60
Telephone No.: (719)9;t0-7331
**Seller's Names: Gre%= L. '"oxgAa Annle Molnar
Seller's Signatures:
Joint Owner Signature:
**Escrow Company:. Sierli'na Escrow it Phone#9(49-a(0a-72o0
**Address 3500 Owranm PKwv . Ste 100. Trd?rw. CA 9,1&0&
**Escrow Number: 00.535q -ww
**Closing Date (Estimate): J -'5-9 **Email: WII
CO
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: ` Reinspection Date:
Fee Paid: ` Check No: 1�55
Application Complete:
Public Works Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
Date:
Inspection Requested By:
Inspector:
INSPECTION FORM
Public Works
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Pier Address: I I S v1 (", Ui & &10.4)
Pier Transfer
,�. Reinspection
` --- "- GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments
Comments / Observations
Other Request
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