HomeMy WebLinkAbout17-9-19 Signed apps**Date of Applicaton:
**Property Address:
**Buyer's Names:
Buyer's Signatures
Billing Address:
Telephone No.:
**Seller's Names:
Seller's Signatures:
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
Permit Number:
Joint Owner Signature: 43q. 113S5
**Escrow Company: LPr�CPhone# 61 o Si* -j 013
**Address Loy Lr r t' ��:�, �u+te 2CO
**Escrow Number: **Fax #: qUq �1� R2I�
Closing Date (Estimate): n0 I y Email: KK«c alnr �scro4�i IPaGlers CO►'V1
* *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.
INSPECTION FORM
Harbor Resources Department
Date:y'�,1 i_7
Inspection Requested By: .�
Inspector: =—
Pier Address:
Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Pump Out
Pier Location
VC6L- U &C) QSO—t4
Yes Need None Needed
Nwlr7
Yes No
Operational
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
Reinspection
Yes Need
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Newport
Beach
GIS
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Disclaimer: Every reasonable effort has been made to assure the
accuracy of the data provided, however, The City of
Newport Beach and its employees and agents
disclaim any and all responsibility from or relating to
any results obtained in its use
Imagery: 2009-2013 photos provided by Eagle
Imaging www eagleaerial.com
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