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HomeMy WebLinkAboutR2020-0516 - Permit ApplicationCity of Newport Beach`rr✓Eo COMMUNITY COMMUNITY DEVELOPMENT DEPARTMENT UFVELOPMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658.-h§ 5 2020 RBR#�5-AJ_Z©'LO — 051 6 www.newportbeachca.gov 1 (949) 644-3200 CITY OF Application for Report of Residential Building Records r;, Please type or print and complete all information # of Units: n Address: City: Beach State: CA Zip: 92663 214 Via Lido Nord y Propertyowner: James O. Lee Family Trust Zip Code: 92663 Owner Address: 214 Via Lido Nord City: Newport Beach State: Zip Code _ _I - 92663 --- _._ __— --- CA ���, Home Phone. Owner's Authorized Agent: Jim West Work Phone: Agent Address: city: f_ --- ---------._.__---_.-- State: I _ 7 Zip Code: Fl Agent Email Address: Escrow Company: Freedom Escrow Escrow #:053785 -MM Escrow Address:1200 Newport Center Dr., Suite 180 City: Newport Beach State: CA - — Zip Code: 52660 Escrow Phone: 1(949)_644-3939 Email Report to: IMichael Mighore at: MMaa,FREEDOMESCROW.COM For Inspection call (Name): Direct Phone: CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW) B.,1dw,Di W.s \Forms\RBR 9-18-18 be responsible tocol Account # 01050504-521040 .................Make checks payable to: CITY OF zoning,', 020