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HomeMy WebLinkAboutR2023-0530 - Permit ApplicationRECEIVED BY COMMUNITY DEVELOPMENI Print For City of Newport Beach �i t! f2 2023 COMMUNITY DEVELOPMENT DEPARTMENT t BUILDING DIVISION CITY OF 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8910N!PORTSFACH P,a 2 202- 3 - 053 -,:) www.newportbeachca.gov 1 (949) 644-3200 Application for Report of Residential Building Records Application Fee: - $202.00 Notice: (For All Residential Buildings) Applications with insufficient fee payment Reinspection Fee $ 134.00 or incomplete will be returned Please type or print and complete all information # of Units: Address: 84 Lessay City: Newport Beach State: CA zip: 92657 Turnbury LLC - Lilly Vahil Zip Code: I Owner Address: I City: State: F Zip Code: F Home Phone: Owner's Authorized Agent: Work Phone: Agent Address: City: State: Zip Code: F Agent Email Address: F Escrow Company: I Freedom Escrow Escrow #: 1055852-MM Escrow Address: 1200 Newport Center Dr., Suite 180 city FNewport Beach State: FcA Zip Code: F 92660 Escrow Phone: (949) 644-3939 Email Report to: mm@freedomescrow.com For Inspection call (Name): I N/A Direct Phone: CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW) I authorize inspections and re -inspections of the property listed above. I understand that if Building or Zoning violations are discovered I will be responsible to correct said violations. Owner/Agent's signature to authorize inspection: Owner/Agent's signature to decline OR Date: Date: 1 06/09/2023 Builtling BiwM.n\F.,.,\RBR 6-15-22 Account # 01050504-521040.................Make checks payable to: CITY OF NEWPORT BEACH