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