A P P L I C A T I O N
FOR ASSIGNMENT OF A CITY MASTER LEASE AGREEMENT
To be completed and returned to the Harbor Office for processing. Please print or type.
Lease Site Number Physical Address Proposed Assignment Date
Current Master Lessee Name Assignee Name
Business/Corporation Name Business/Corporation Name
Mailing Address Mailing Address
City, State Zip City, State Zip
Telephone / Email Address Telephone / Email Address
Current Master Lessee Name Assignee Name
Business/Corporation Name Business/Corporation Name
Mailing Address Mailing Address
City, State Zip City, State Zip
Telephone / Email Address Telephone / Email Address
Master Lessee/Representative Signature Date
Master Lessee/Representative Signature Date
Assignee’s Signature Date
Assignee’s Signature Date