HomeMy WebLinkAboutTemporary Activity 20130027 - Page•
OP,
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
TAP No. '2t9 (3 -02*
Applicationfor TemporaryActivity Permit
Shall not exceed 96 consecutive hours (except agricultural sales)
Must display a copy of this permit on premises of activity location
A maximum of four events/activities each calendar year are allowed
Violation of anyof the requirements listed on this permit is subject to immediate
issuance of a citation
Permitted: outdoor display of goods (banners, pennants, streamers, and flags are
allowed a de 'cted on the diagram below for activity durati n o ly)
Start Date of Activity:(mm/dd/y yy 7 /S nd Date of Activity:(rnm/dd/yyyy)04 10 3
Description of Activity:
Location of Property/Address/Assessor's Parcel Number (APN):
Business Name: /71.14.
.q...pplicantor Authorized t (Please Print)
MailingAddr540a. <,Ln
"F. T,AJ 4
Property Owner(Please Print)
. LA)
MailingAddress
C eS
City
cP.) —72 2.Ob
TelephoneNumber
L
ZID2-7
State Zip
E-mailAddress
110date
Zip
2111e)
(relflimill N82.5 etze o E 44..2.Aotheizejib le(
I have ad and nd the requirementsof this
-p)
Signatur ofAp ant Date Signat re ofProperty Owner Date
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
FOR FFICIAL USE ONLY „..)
Fee Receipt #
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
Approved: Planning Dept. Initial Date '
Planning Mgr. Initials Date
(If Neighborhood Notification is required —See PP-10,2)
Fire Dept. Initials/PIC- Date
Public Works Dept. Initials P 5 Date bib 113
Police Dept. Initials 170 Date 6 -L.-13
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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