HomeMy WebLinkAbout19-4-25 Signed appDocuSign Envelope ID: 8D609B2A-77B5-47CD-A7F9-D916C5CC10BF
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Fir. 1, Bay C
Newport Beach, CA 92660
** Date of Application: April22, 2019 Permit Number:
** Property Address: 630 Via Lido Nord, Newport Beach, CA 92663
Buyer's Names: Daniel Kruse
Billing Address:
Telephone No.: oocusi nano :
** Buyer's Signatures:
** Seller's Names:
** Seller's Signatures: t_
Joint Owner Signature:
** Escrow Company: Mariners Escrow Corporation
** Address: 270 Newport Center Drive Suite 200 Newport Beach
** Escrow Number: 56167-BF ** Fax Number:
Escrow Officer: Brian Foxcroft Phone Number:
Closing Date (Estimated): May 3, 2019
"STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
Inspection Date: _ fL
Fee Paid:
Application Completed:
1p—
Reinspection Date:
Check No.:
rtesources slgnarurelvare
Special Conditions: This permit is revocable by the City Council
In accordance with Title 17 of Newport Beach Municipal Code
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Fir. 10 Bay C
Newport Beach, CA 92660
** Date of Application: Apr1122, 2019 Permit Number:
Property Address: _630'Via Lido Nord, Newport [teach CA 92663
** Buyer`s Names: Daniel Kruse
Billing Address:
Telephone No.; _
** Buyer's Signatures:
" Seller's Names: 3JFarwell, LLC, a Delaware limited liability company
* Seller's Signatures:
Joint Owner Signature:
** Escrow Company: Mariners Escrow Corporation_
** Address: 2 New Center Driva, Suite 200, Newport Beac
** Escrow Number: 56167-BF ** Fax Number:
Escrow Officer., Brian Foxcroft Phone Number:
Closing Date (Estimated): Mav3,2A19-
*STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Reinspection Date:
Check No.:
Application Completed:
Harbor Resources Signature/Date
Special Conditiona This permit is revocable by the City Council
in accordance with Title 17 of Newport Beach Municipal Code
INSPECTION FORM
Harbor Resources Department
Date: _4/d,49
Inspection Requested By: C.
Inspector: L
Pier Address:
P!ier Transfer }
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Pump Out
Pier Location
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
Cow Vt _ NJ
Yes Need
Yes No
None Needed
F j
Reinspection
Yes Need
MARINERS ESCROW CORPORATION
Newport Besch, CA 92660
671OGG
Check No. 671066
Deter 4/22/2019 EsctowNo. 56167 BF (KM) Closed: 5/03/2019 Check Amount $250.00
_ - -- - -- -
Payee: City Of Newport Beach -Harbor Dept
100 Civic Center Dr., Floor 1 Bay C
Newport Beach, CA 92660
Seller: SJFarwell, LLC, a Delaware limited liability company Miscellaneous Fee
Buyer: Daniel Kruse Property: 630 Via Lido Nord, Newport Beach, C/
92663
Ref:
Memo 1:
Memo 2:
Detail: Miscellaneous Fee 250.00'
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