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HomeMy WebLinkAboutR2021-0770 - PermitsIfF Ott- City of Newport Beach CSN1niU �� COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION NOV 8 1 Z071 p() v ? �1 D 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915 RBR# Ft L www.newportbeachca.gov 1 (949) 644-3200 `,I.r1; ,ai Please type or print and complete all information #ofUnits: . Address: 10 Observatory j City: Newport Beach i State: CA.. Zip: 52657 Property Owner: Basel A. Habbal Zip Code: 92657 Owner Address: 10 Observatory City: Newport Coast j State: CA Zip Code: 92657 Home Phone: Owner's Authorized Agent: Shiva Ommi, Broker Work Phone: 1 949-887-6737 Agent Address: 15 Highpoint City: Newport Coast State: CA Zip Code: 92657 Agent Email Address: F Shivaommi@gmail.com Escrow company: Generations Escrow i Escrow #: 401741755-sg Escrow Address: 11,32451 Golden Lantern #300 city: Faguna Niguel State: Cq Zip Code: 92677 Escrow Phone: 949-373-8800 EmailReportto: sgifford@genescroW.Com For Inspection call (Name): Direct Phone: CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW) Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH Buildin�DiNsion\Forms\RBR ➢-1-21