HomeMy WebLinkAbout22-1-11 ApplicationHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applic�
**Property Addi
**Buyer's Na
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Names:
Seller's Signatures: U
Joint Owner Signature:
**Escrow Company:.. ar:, nr-(--, E---r6v-) Phone# 9L/-\. (QLEO-� 1
**Address;Lic) Ak2W .iR- _ `i2-co(� (J
**Escrow Number: (P&1XB-p **Fax #: q qR.C)L-go�
Closing Date (Estimate): jjZQz-qZ.2 Email:
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* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date:
Check No:
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.