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HomeMy WebLinkAboutR2022-0083 - Permit ApplicationCity of Newport Beach COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915 www.newportbeachca.gov j (948) 044-3200 Application for Report of Residential Building Records Please type or Print and complete all information # of (!nits; Address„ 21 Cherbourg i City: Newport Beach State: CA Zip: 92660-6807 F Property owner: The Galleon Living Trust, dated March 7, 2013 zip code;92660 Owner Address: 121 Cherbourg City:11 Newport Beach State: CA Zip Code:9266D Home Phone: 1 M-468-2228 Owner's Authorized Agent: I Media West Realty work phone: 818-468-2228 Agent Address: 1300 W. Magnolia Blvd. j City: Burbank State:CA Up Code: 91546 Agent Email Address: Bryan@mediawestrealty.com Escrow Company: rcorner Escrow Inc ._ ._... ------ Escrow #: 4891294 Vk_ ._ Escrow address. 18600Macarthur Blvd. #350 City: Irvine State: 1 Ca zip Code: 92660 Escrow Phone 949 800 8908 EmailReportto; vesna.kopac@comerescrow.com bryan@mediawestrealty.com '.... For inspection call (Name): Bryan Ochse, Agent Direct Phone: 818-468-2228 __ _.____.__�m___ l _., CONSENT TO INSPECT (FORM MUST BE SIGNED A DATED BELOW) Account # 01050504-521040 ..................Make checks payable to: CITY OF NEWPORT &EACH &ddbyL0l�tsian\iurtns}RBM1 ].Y�S1