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HomeMy WebLinkAbout18-5-2 Signed appDocuSign Envelope ID: 8DA2BF5F-4C50-4262-9DD8-26D58BDE7136 HARBOR PERMIT TRANSFER APPLICATION 100 Civic Center ©rive, Fir. 1, Bay C Newport Beach, CA 92660 *" Date of Applicatlom April 30, 2018 Permit Number: «* Property Address: 936 Via Lido Nord, NoNyeort Bench, CA 92663 *" Buyer's Names: The Stephen J. Harder Trust, The Cynthin A. I=inrder Trust — Wiling Address: �� _K4��:- btu A I �A-h� + o rG-7 Telephone No,: "* Buyer's Signatures: by: " Seller's Names: The Deborah J. Melanin Cbildreas 'Trust, The Robert B, McLain Jr. Childreus Trust and The Ann 14. McLain Childrens Trust "Seller's Signatures: „�(•).l�'�!_ ���1`��GG_��"%r•C��e.t-- _ -- .___-__—_--- — Joint Owner Signature: " Escrow Company: Mariners Escrow Corporation *" Address: 1100 Newport Center Drive Suite 200, Newport Beach, CA. 92660 "* Escrow Number: 54471-BF *" Fax Number: 949.721-8157 Escrow Officer: Orion flowerort _ - Phone Number. 949-640-60�40„ „_ m Closing pate (Estimated): MU 24, 2018-- "STARRED ITEMS MUST BE COMPLETED TO BEGIN THE PROCESS. Inspection Date: Fee Paid., Application Completed: 5 Reinspection Date: c� Check No.: Herb Resources esources Si nature/Dete Special Conditions: This permit is revocable by the City Council In accordance with Title 17 of Newport Beach Municipal Code INSPECTION FORM Harbor Resources Department Date: Inspection Requested By: L- Inspector: L" Pier Address: Pier Transfer GFI Present Anti -Siphon 1 Backflow Present Pump Out Other Comments Pier Location qsc, UL ]Q Reinspection Yes Need None Needed Yes Need "D Yes No Operational Recommended Action Encroachment Address of Complaining Party Boat Description CF Number Location on Dock Comments ! Observations Other Request ,f ;,war•f •��'r�', b �►iIIIII _I T Newport Beach GAS Disclaimer: Every reasonable effort has been made to assure the accuracy of the data provided, however, The City of aEvvvpRr Newport Beach and its employees and agents 0 20 40 disclaim any and all responsibility from or relating to any results obtained in its use. 3 f Feet .q.0. ,iron `� 5I1I20