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HomeMy WebLinkAboutTemporary Activity 20130028 - Pagefir TAP N o . 1 4 * " . 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 d d r e s s 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 Zrel Date 4zp) ' D a t e 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 TNT F I R E W O R K S NEWPAINT SALES ASSOC I A T E L A U R A L I R A CITY H U N T I N G T O N B E A C H LOCATION# FIBC0109 O R G A N I Z A T I O N MARINA H S B A S E B A L L SIZE 8 X 3 2 TYPE O P M BACK D O O R S 1 A-FRAMES 0 SET-up 6/25 DOWN7/7 LIGHTS ADDRESS 5 9 2 2 E D I N G E R A V E N U E INTERSECTION S W C O F E D I N G E R & S P R I N G D A L E THOMAS G U I D E - C O U N T Y O C PAGE GRID SPECIAL INSTRUCTIONS LOOK F O R M A R K S . rimPlitiostoutticam1.6 . 4 _ . . , , , . . . _ . . . . . „ . . „ . . . . , , . . . . . „ 6 _ _ _ _ : . . . . 1 , r . : . s r I m o _.._1 1 : A 7 C - 7 . 0 tl . m.r.r, • - CD gsOir t ,• 1 is v-12 - • : . - r A ,• •c.".t };I .I 1 - - ` ' 1 * o - "; • , s.. '. gpiracti _