HomeMy WebLinkAboutR2021-0445 - Permit ApplicationCity of Newport Beach
COMMUNhY DEVELOPMENT DEPARTMENT
BUILDING DIVISION;,
100 Citic Center Drive I P,O, BoX 1768) Newport Beach, CA 92658-8915
RSR#; www.newoorfbeachca.¢ov l (949) 644-3200
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Application for Report of Residential Building Records
Please type or print and complete all information
#:of Units: Address 442 �/ii{a Potn# Dnye . ;flew `ort8ach '_= Sate CA;'. Zi 92684,„
, , City. P�
Property Owner. #?alrea,J 1 teao� ttis3eetrf lievl2@Ito aihil fir? dated`Se't$itiberfi, d990,' Zip Code
Owner Address
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CONSENT TO INSPECT WORM MUST BE SIGNED AND DATED': BELOW
Account#D1DSD504-521Q4D .....,.....Make checks payable to, CITYOFNEWPORT BEACH'