HomeMy WebLinkAbout17-6-15 Signed app & pymtHARB OR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: E)30 It Permit Number:
**Property Address: 501 = 3y�, �,1,A L.�J� Sc,�D
**Buyer's Na
Buyer's Signa
Billing Address: J, o �► � o ��.;��
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Telephone No.: C�i 5oc, -0 ioo Lil-h)5co -o,k l
**Seller's Names: ��Z-&,,/ e l,c�
Signatures:
Joint Owner Signature:
**Escrow Company:
**Address
**Escrow Number:
Closing Date (Estimate):
Varsal Escrow Services, Inc.
32356 S. Coast Highway, Ste. 1Rhone# 64-,� �,Iz-wu
Laguna Beach, Ca 92651
22,5.-1- e,IC **Fax#: bidet -315-bog 3
c Email: Ci�,z�s �o,�.l� Z. �C� n,.l� •l �' �� ZSaG�cz� v. coy-(
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
---------------_---_—_—_---------------<---------------
Inspection Date: 1-7 It -Reinspection Date:
Fee Paid: fQ-64 Check No: 5f(Q 165
Application Complete:
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.
Date:
Inspection Requested By:
Inspector:
INSPECTION FORM
Harbor Resources Department
L
Pi d
rPierransfe
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
.30q vr"s
Date Time ❑
❑
Pump Out
Pier Location
Ye Need None Needed
V
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
CIF Number
Location on Dock
Comments / Observations
Reinspection
Yes Need
Other Request
ESCROW NO. 002254-CK DATE: May 31, 2017 Check No. 00051685
Issued By: Diana Fleming
AMOUNT $"'*'"`" 234.00
OFFICER: Christopher Keahey
PAID TO THE ORDER OF: City of Newport Beach
Pier Transfer Upfront Fee Due
Property: 307 & 309 Via Lido Soud, Newport Beach, CA 92663
Seller: Elliot Feuerstein, Successor Trustee of the Arnold D. Feuerstein Trust
UTA DTD April 13, 1982 and Elliot Feuerstein, Successor Trustee of the
Buyer: Michael Gray and Lori Gray
for Harbor Permit Transfer Application 234.00