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HomeMy WebLinkAbout21-11-15 Signed app & pymt"Buyer's Dames; A A L, 100 Civic Ceiiter Drive t Newport Beach,s 92660 49-6 f . 4 ooauarnned by "Seller's #Names.. 3��C? �� Seller's Signatures Tint Owner Signature: "Escrow Number: Closing Date (Estfrnate): Em,, 16L. Ivv-. CUM *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS. Inspection Crate: 111,5W Rainspection Bata: Fee Paid. Check No: -7� Application Complete-_ Harbor Resources SignaturelDate Special Conditions: This permit is revokable by the Co Council in accordance with Title 17 of the Newport Beach Municipal code. 10R Civic Center DAve i Newport Beach, 0 Y: A. Y, i..A A 0d; J "Buyer's dames, Buyer`s Signatures; Billing Address: -; **Seil�t�`s dames. �iC`-�,�«�F''' ���-� ��•��� Seller's Signatures, uta $I^-k!._ - ,-. ze»aeini�esaea;:. Joint Owner Signature. "Escrow Number. Closing Date (Estimate): *'"STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS. Inspection bate; t R inspection bate; Fee Paid: Check No: Application Complete: Harbor Resources �I—VnaturelDate Special Condltlons: This permit Is revocable by the City Council in accordance with Tide 17 of the Newport Beach Municipal Code. INSPECTION FORM Date: Inspection Requested By: Inspector: Pier Address: Pier Transfer GFI Present Anti -Siphon / Backflow Present Other Comments Comments / Observations Other Request Public Works ll � 21 L_ L 535 VL S Reinspection YeEV None Needed Yes .Need 11`3Ia d2/^^~©2\ � \/� �« 2. . E 4 U Cl) o o ro LO LO N d e> C z z N � t p =O U o v Cl) 5 M O co 6Ni N r G � O N.2 O Nyy ' r2 IL � � N O g N c s c ca c o m W `0 O z�� O �.- N z ._.S co Zw o 3rnH c�i 'N� c 2'@o0 C m L o i � co i V G N LU 't y t O N N p. my fa o' z 1� 5 -. @ 1 Cd N 0 r. O . 46 U F.. � 'O p y .gy�pp U 7L = O a @ o N-r aQ N' Urz ( W r- N p p m 2Q C9 Q I a