HomeMy WebLinkAboutR2021-0229 - Permit ApplicationRBRiNTI— 01
City of Newport, Beach
COMMUNITY DEVELOPMENT QERARTMENT
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2021
Pleaso type or print and Complete A information
Escrow torppany:
bcrowAcidress;
State: GA Zip Code:'92660
Email Report M
Escrow Phone, 1 949-720-0110
Porinspection call (Name):
Direct Phone:
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CONSENT TOJNSPECT (FORM MUST BE SIGNED & DATED BELOW)
A6oborrt It 01050504-521040_ ........::...Make checks payable to: CITY OF NEWPORT BEACH
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