HomeMy WebLinkAboutR2020-0515 - Permit ApplicationWED
City of Newport Beach ,C aY
COMMUNITY DEVELOPMENT DEPARTMENT coMAMUNITY7rV�� OPMFNT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-891AN Z 5 2 24
RBR# — (f)SJS www.newportbeachca.gov 1 (949) 644-3200
Please type or print and complete all information
# of Units: ❑1 Address: 600 Heliotrope Avenue City: Newport Beach State: CA ]Zip: 92625
Property Owner:
OMD Realty, LLC
Zip Code:
Owner Address:
City:
State: CA Zip Code:
Home Phone.
Owner's Authorized Agent:
Work Phone:
Agent Address:
City:
State:Zip Code:
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Agent Email Address:
-
Escrow Company: Freedom Escrow
Escrow #: 053790 -MM
Escrow Address:
1200 Newport Center Dr., Suite 180
City:
Newport Beach
State:
CA
Zip Code: 92660
Escrow Phone:
(949) 644-3939
Email Report to:
mm@freedomescrow.com
For Inspection call (Name):
N/A
Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
B.i1dm —DMSlnn\Forms\RBR 9-16-19