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HomeMy WebLinkAboutR2020-0913 - Permit Application�r.t:CL"IV61j4P . i10IWMUNl7'y� City of Newport Beach COMMUNITY DEVELOPMENT DEPARTMENT OCT 2 12020 Bunbwd DIVISION' 100 Civic Center Drive I P.O-. Box -47681 Newport Beach, CA 9265$-8416 C1 ry OF www.nay(6ortbeacheaagov I (944) 644-3200' y R8R#:... Please, tybd or mint and complete all Information # of Units; : Address. 3t: a Daipti= City _t?ewprszf be i ._'i sate .......... . Property Owner.?ARAI IN1450 N "'-P,KN#rt.0 _.__..i H Zip Cflde City f*A T a(ai and a tiara M viasa lk rUStee orb h asank Famcip Zip Code Owner Address n, City; State. Z7ip Code -,-E.- „ ; .,.... Home Phone, Owner's Authorized Agent- Tacy t3aw_ ...... .......... . Work Phone Agent Address: IN1450 N "'-P,KN#rt.0 _.__..i H City sr Zip Code 6_ & _ ��n, � . 111 Agent Email Address: F, mv Escrow Company eG "Es au& 5piti9le rti.s %toea ....a Win, , r __:h Escrow #1 04" CONSENT70.INSPECT (FORM MUST BE SIGNED AND DATED BELOW' Account # (#1050504-521040 ....:.:..._Make checks payable to CnYOF NEWPORT'BEACH