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HomeMy WebLinkAboutR2021-0188 - Permit ApplicationCity of Newport Beach COMMUNITY DEVELOPMENT DEPARTMENT. BUILDING DIVISION F v* 0 tq 100 m 8-8 ,civic Center DrWe I P.O. Box 1768 1 Newport Bc[�, CA 926591$ I www-neWportbeachto4gvI 1 (149) W�3200 Rm IK Application for Report of Restiletitial Ouilcling F(epords 7 i -"mnilmqp�� 2, 2 'g # of Units: Address: Sate, PEI— Zip* F AgentAddress- City:. -" L ty k m4diggLO-6 State;. � Zip Code: Agent Emall,Addreaw cbNSENT TO iNSPELt (FORM MUST RtIGNED AND DATED BELOW AccoUnt 901050504 521040 ................Make chLckspvyaWe toy.CfTY OF MEWPORTBISAIGH