HomeMy WebLinkAboutR2023-1053 - Permit ApplicationCity of Newport Beach RECEIVED BY
ONE COMMUNITY DEVELOPMENT DEPARTMENT COMMUNITY
DEVELOPMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA9265B-We 19 2023
RBR# %�% 953 www•newportbeachca.gov 1 (949) 644-3200
CITY OF
4r .r Dnnnrt of Rncirlential Building RecordsNEWPORT BEACH
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Property Owner: �V W
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State: L J Zip Code: % 1��^ Home Phone:
Owner's Authorized Agent: Work Phone:
Agent Address: I
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State: Zip Code: Agent Email Address:
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State: ® Zip Code: - I G'�gu Escrow Phone: I "1- I" IO PI LI -" 7✓
Email Report to:
For Inspection call (Name): Direct Phone: --�
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account # 010SO504-521040 .................Make checks payaoie ro: u1 r Ur rvcvrrvni
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