HomeMy WebLinkAbout17-1-6 Signed pier transf12/30/2018 12:57PM FAX 9496732822 McCormick
fM0001/0003
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Ceraer Drive
Newport Beach, CA 92660
949-644-3044
**C)a'to of Applicaton: 0i 1, Permit dumber:
"Property Address:i. QD i a, 1 C�C i
012-
'Buyer`s Names. l b l
Buyer's Signatures:
Billing Address-,
Telephone No.:
r
Joint Owner Signature:
**Escrow Company:`i� jtir"ylex,s Prone#cal
**AddressW�n ()(-A
**Escrow Number: t5I:-� / -'P-,� **Fax #,
Closing Date (Estimate): I - tl
W+*STARRED ITEMS MIDST BE COMPLETE TO BEGUN THE PROCESS, G i
.III ------�----A.�.i�i sll�i���•�•--------- �
Inspection gate: cl%1 1 Reinspection Date: _
Fee Paid: 4 9,314 heck No: `f b,
Application Complete:
Harbor Resources -Sign afure/Dafe
Special
Conditions: This
rrevocable hthe
hCouncil
in ccodece w✓thTItle1 permit Is
BeyMun a! code.
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HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
"Date of Applicaton: Permit Number:
*'"Property Address: � �- i C�—
6 1 Zl
"Buyer's Names<� - � 'b 1 �-� v cell ►._ � --
Buyer's Signatures: v� Yw . , ._
Billing Address.
Telephone No.:
"Seller's Names: 1t.3, E, o VZc VA! e,i�'�11ax"t�t a
Seller's Signatures:
Joint Owner Signature:
r'-
*Escrow Company:`. fir ; ACAIS i,,IOV � Phone# �. LD4t
*Address, . �)t-k,4c (� �t��r l r` r� i _ i�. COk
"Escrow Number: 51 �-�5� Fax#:c:1 ^�D-c�-C,�ctL�
Closing Date (Estimate): 1 1l� 20�7' Email: `��jr;�r,U�Sc,� �,wW-c"'ncYSesc t"o,J .
CCvti'1
* *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 771tle 17 of the Newport Beach Municipal Code.
MARINERS ESCROW
270 NEWPORT CENTER DRIVE, SUITE 200 / NEWPORT BEACH / CA / 92660 / USA
T 949.640.6040 1 F 949.721.8157 1 www.marinersescrow.com
Date: January 6, 2017
Escrow No.: 51794-DJ
City of Newport Beach
Attn: Lisa Walters
100 Civic Center Drive
Newport Beach, CA 92660
Re: 120 Via Lido Nord, Newport Beach, CA 92663
In connection with the above referenced escrow, we enclose the following:
Signed harbor Permit Transfer Application.
If you have any questions or need anything further, please do not hesitate to call.
Si
loariiy4 Escow Corporation
0ohnson
Officer
INSPECTION FORM
Harbor Resources Department
Date:
Inspection Requested By:
Inspector:
Pier Address: Via_ U(ao 1 N
Pier Transfer /
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
Date Time
Pump Out
Pier Location
Yes, Need None Needed
Eelgrass Within 15' of Project
❑ Eelgrass Within 15' - 30' of Project
No Eelgrass in Project Area
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
Reinspection
Yes Need
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