HomeMy WebLinkAboutR2021-0758 - Permit ApplicationCOMMUNITY DEVELOPMENT, DEPARTMENT
BUILDING DIVISION
�qtj—OjVa too Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-891 5
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REIR#www.newportbeachca.gov 1 (949) 644-3200
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# of Units: Address.
State: ziP:F97__1
PropertYOwner:FD I�7A S TAR SUSAN �G77rA7ARMA
ZIP Code:
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owner Address:
State: CA Zip Code:
Escrow Address- F450 ��NEV���R�C!�-T�R�RRT ��T�. _��0 :, City-
state: F-7 -9 Zip Code.52766lt
Home Phime:
For Inspection call (Name)- NIA
------ Direct Phone, [ 7N/
CONSENT to wspEcr (FORm MUST SE SIGNED & DATED BELOW
ACCOunT4;u1ubUbU4-5Z1V40 ....... ...._..Make checks payable to: CITY OFAIEWPORTBF-4CH