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COMMUNITY
DEVELOPMENT
,folir,t r=v,Yn City of Newport Beach MAR 16 2022
COMMUNITY DEVELOPMENT DEPARTMC N'r
BUILDING DIVISION CITY of
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Application for Report of Residential Building Records
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(I or AlIkesidential Fluiidinns) Applicationrs with insullideat tee Payment
Reinspection Fee $131.00 or incomplete. will he raturrutd
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dot units: ( Atidrew �GYW (,agni?y Lane 430 .._.._�._ COO State: (CA Fa I x21665
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Ovener Address: 15000 S. Chariton Avenue city; i (_os Angeles
State: �.CA_.. Zip Code: 90Ci5C Nome Pironm: s=ae, n.ar7c
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