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COMMUNHY
City of Newport 136ach
DEVELOPMENI
COMMUNIT,Y DEVELPPMENT DEPARTMENTSUI LDINGIDIVISI : ON AUG 06 2021
1100CIVic Center Dove P.Q-,Box17661 . Newport Beach, CA92658-801 5
WWW'neWportbeachca.goV 1 (949) 644-3200 CITY OF
I PlOaSO tVPe or print and COMPlete, all infiarMation
Email Report to:
For Insp6ttlon call (Name}; -Direct Pnone,,,