HomeMy WebLinkAbout17-6-20 Signed appDate of Application
Property Address:
Buyer's Names:
Billing Address:
Telephone No.:
'* Buyer's Signatures:
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Fir, 1, Bay C
Newport Beach, CA 92660
June 8, 2016 Permit Number:
808 Via Lido Nord, Newport Bcaeli, CA 92663
The Bernard i-luberman Trust dated Mareb 17. 2006
_ l 1 41 LV��"LIL _ -r^ M o N 1 CA..
Mk Seller's Names: Tile Birnn Family Living 1989 Trus#'Reinstatement'
Seller's Signatures:
Joint Owner Signature:
`" Escrow Company, Mariners Escrow Corporation
Address: 1100 Newport Center Drive. Suite 200, Newport Beach, CA 92660
Escrow Number: 51162-BF *t Fax Number 949-721-8157
Escrow Officer: Brian Foxcroft Phone Number: 949-640-6040
Closing Date (Estimated): _ t 6 tt,�,, a o14 --V —
*"STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
Inspection Date: 1 Reinspection Date
Fee Paid: Check No.: UPQ3-54
Application Completed: _��_ _ �
Harbor ources Signature/pate
Special Conditions: This permit is revocable by the City Council
In accordance with Title 17 of Newport Beach Municipal Code
PLEASE SIGN AND RETURN
A
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive, Fir, 1, Say C
(Newport Beach, Cat 92660
"Date of Application: June 8,.2016 permit Member;
W Property Address- 808 Via Lido \Nord, Ne« or( Beach, CA 92663
Buyer's Names: The Bernard 1-luberman'Frust dated hlarch 17,2006
Billing Address: _�L4_L�'EEi S,y---
Telephone No,: _L,
"* Buyer's Signatures:
"Seller's Names-, The Birne), Family Living 1989 Trust'Reiustatement'
1
*' Seller's Signatures; '�'•r�•., -'i
• f-Yi YV 1,•-L,
Joint Owner Signature:
"JEscrow Company- Mariners Escrow Corporation
Address,, 1100 Newport Center Drive Suite 200Newport Beach CA 92660
R' Escrow Number: 51 162-BF — Fax Number; 949-721-8157
Escrow Officer; Brian Foxcroft Phone Number 949-640-6040
Clostng Date, (Estimated): 3uI T�i L�y1¢ • Z4 2 t�l(o
"STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS.
inspection Date ��� Reinspection Date: r
Fee Paid:
Application Completed:
Check No_ Wa38y-
Harbor Resources S%gnat rc%Date
Special CondNons: This permit is revocable by the City Council
In accordance With rtle 17 of Newport Saach Municipal Code
PLEASE SIGN AND RETURN
INSPECTION FORM
Date:
Inspection Requested By:
Inspector:
Pier Address:
% Pier Transfer '
Harbor Resources Department
IO
L
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
L_
8oQ�) ✓i cam. U d c) Mo4
Reinspection
Yes, Need None Needed Yes Need
l-
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