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HomeMy WebLinkAboutR2022-0014 - Permit ApplicationCity of Newport each COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION � /J 0�Z- oo 0 Chk Canter Chive l P.0, Box 17681 Newport Beach CA 92658.8918 ku L G WWW ngwpar3Bs}echca 1(81fl184b_ 2fl0 Application for Report of Residential Building Records irrp MkaaldaTttlal8yt, i AlsA110311003 With insuftklehl NO PSYment ReinspsttkmrA4 #S:stq or Incomplete walba, returrsed llDi�Ematiee ` Well Does; Addtpst. rLrl( .��'.;±',�'Jam.'! ty: Newport Beacft.: Snta: �GA tiy. �., It PropdnYfYa!sef - u, r( t '!=.r.' IipCotiv owntt * City: . w; s+axt� � zlp codes � Pluxr� iI '` A4illZrltettAtprlN' i+ -y work Phone; Gty: t" W ,. 5tatt`711,1 .. ;:iprads '.:AgentEmail AddmoIt Escrow Y'%15,!fh''.' {� 'gyp,,..• i3ttuw P<1` ��d> EwowAddross.' ,' 'State: :2lpOwes, EscrawWwne: for inspedtoocall INamel: / _ threctPhone: •.. ,��; WN—TG, Mm (M v— Q,E.5!vNE,P.knA'aD,Ak1gW1 tauthorltbinspectiotlontld rednspettfonsof rho property listed above, f understand that If Suilding orZoning violation are discovered lw9lberesponsible tocorrect ioldviolaton.s, AwrrRr)Aggni"a signature to out hoslaoinwolon: _ Date: Cl0A wnirNem's signature to decpna lniWtlon: D;ste:f ��_Acaiunta03050.5tl+1.52➢ttA0-�..........,.h7nke therAl poyobtt s+.?MCtTY iIf NG'WNUNret'.ACH -�Wpm���~ arY�Cxsaxv;tw«ren tri