HomeMy WebLinkAboutR2020-0312 - Permit Application"dnt Form City of IVcvapord Beach
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Application for Report of Residential Building Records
Anp6cahon Fees_ Slnyle Famly ]Res,'Conde i tdr ill $155.Do "i'!I e:
1-hiplex (2 Units) - 2;5±2.4x=1 4pa � aG4n m.ih in i (rcient tee pay:reni
W,re than 2 anita- x49'2,00' 17 M, per nrri over 2 or incor .plete wail be relurn,,d
ReiosZecilon Fee $b27.0D
Pleasrz type or print and complete all Information
9 of Units; Address: 225 Marclients ,Avenue r Newpoii Beach State CA Zip- 9 625
i5mpery Owner Nancy Talo Succ: .cr I rustee of i he t'atuci r Anne Nurizy Trust established June 92.'1934
!.p Curie,
Owner Address: .
State: CA
Zip Code:
Owiei',Authonzed Agent ,Steve
City:
Home F .one:
;Mork Phone:
Agent Address, 459 Newport Centei Drive, suite100Cry: Newport Beach
State:CA Zip Code:' 92660 Agent t mid Address:
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Escrow Company._ Key Escrow, Inc Escrow s' 004522 -BR
Escrow Address: 450 Nest or^ Center Dttve, 230 City. NewPot Beach
State CA Zip Code 92666 Esorow Phone. (9491 n698 1960
'marl Report To:. corinaiu7key::srrow.corn
(o- inspection Call (Name):
))sect
CONSENT TO INSPECT_(OR.7 &LUST BE SIGNED & DATED BELOW)
I authorize- inspr ctirns and re -inspections of `.he property listed .Foes
vi+rations are aic.overad I wail! be ,e.r c rsltae r, c sr ect said pro €iarry.
Owneri Agen[ rlgratu€e to eutharize Ir , .,=iar?. bete:
Owners Aoenis Idl <�!ure k aecl6re !n tx-t c 1... �h r_ r, . Data:
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Acne-unl4295035. ` 'ik( h -.K pavab;e tc CITY OF NFVjPCRT BEACH