HomeMy WebLinkAbout16-03-30 Signed trnsfr pymtHARBOR PERMIT
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton:,3Y/— Permit Number:
**Property Address: /A- y/A ZI®/j
**Buyer's Names:
Buyer's Signatures: j 2���
Billing Address S; c,qc� PA,e/4r dA
5 cw M �,ti � G,t q 2 6- 3
Telephone No.: R�fCi - `4118 - 6G5 3
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company:
**Address
**Escrow Number:
Closing Date (Estimate):
* *STARRED ITEMS MUST __
MUST BE COMPLETE_T_O__BEGIN THE PROCESS.
_
Inspection Date: 51301 IV Reinspection Date:
Fee Paid: ?50 Check N
Application Complete:
Harbor Resource st nature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
-IfORNUMNOVIN-
TRANSFER APPLICATION
829 Harbor Island Drive
Newport Beach, CA 92660
949-644-3044/fx 949-723-0589
**Date of Applicaton:,_ , Permit Number: �3 3t5
**Property Address:(
**Buyer's Names:
Buyer's Signatures:
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company:
"Address
"Escrow Number:
Closing Date (Estimate):
* *STARRED ITEMS _MUST
�BI_E COMPLETE _T_O_BEGI_N T_HE_PRO_CES_S.
Inspection Date: '150 lip I Reinspection Date: _. I -
Fee Paid. oZ,3a"jClhec No: 3869
Application Complete:
Harbor Resources Sign 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:
Inspection Requested By: L
Inspector:
Pier Address:
Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Eelgrass
Reinspection
Yeses Need None Needed
Yes Need
Date Time ❑ Eelgrass Within 15' of Project
❑ Eelgrass Within IS'- 30' of Project
❑ No Eelgrass in Project Area
Pump Out
Pier Location
Yes No
Operational m
Recommended Action
Encroachment
Address of Complaining Party
Boat Description
CF Number
Location on Dock
Comments / Observations
Other Request
COAST CITIES ESCROW
Escrow Trust Account 237-18
Check No. 38593
38�93
1
Date: 3/29/2016 Escrow No. 18-6778-JP (JP
) Closed: 4/06/2016 Check Amount $ 230.00
Payee:
City of Newport Beach
100 Civic Center Drive
Harbor Permit Divison
Newport Beach, CA 92658
Seller:
Jeffrie A. Green and Marie Green, and their
Miscellaneous Fee
successors, as Trustees of the Green
Buyer:
Robert Scott Shaw
Property: 315 Via Lido Soud, Newport Beach,
CA 92663
Ref:
Memo 1:
Pier Permit Transfer Fee.
Memo2:
Detail:
Pest Inspectlon 230.00
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