HomeMy WebLinkAboutTemporary Activity 20130028 - Pagefir
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0145
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 any of 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 as depicted on the diagram below for activity duration only)
Start Date of Activity:(m dd/yyyy)tb 1 End Date of Activity:(mm/dd/yyyy) 07 Oti 1°0
Description of Activity:
Location of Property/Address/Assessor's Parcel Number (APN):2 2_61)=A)1q &We
Bu MessNam •6 a
Pki A 22AJ4 t/2LL e.6"LP
Applicant Autho ed Agen Ple Print)Property Owner (Please Print)
3333 M61.4 A 6 Akk
Suff16 tOo
ling Atslress Mailing Address
,
City State Zip City St
ate Zip
1 1 ad . 31 141-/r
Telephone Number E- ail Ad ress Telephone Number E-mail
A
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CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
I e r
Signature of Property Ownerat e of App icant
nd understand t e re uirements of this per
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Date
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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.
S6.L-
FOR FFICIAL USE ONLY
Fee Receipt#
BondRequired:NO YES #
Approved:PlanningDept.Initials Date (o 13
'
PlanningMgr. Initials Date
(If Neighborhood Notification is reluired —See P•-107J
Fire Dept. Initials/aC Date
PublicWorksDept.Initials Date 6
e b3
Police Dept. Initials A Date 4,-4:-/3
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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