HomeMy WebLinkAboutTemporary Activity 20130030 - PageTAP No.1XAS tit)
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 as depicted on the diagram below for activity duration only)
Start Date of Activity:(mm/dd/yyyy) 0-7 0 1 2013 End Date of Activity:(mm/dd/yyyy) C>0 L/ Zo I3
Description of Activity:F azi.vokk'
Location of Property/Address/Assessor's Parcel Number (APN):Z. C3 AL v6A)t.)
Business Name:A- L P )3
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CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Applicantor AuthorizedAgent(Please Print)
0 Box 3 3
MailingAddress
4-1(.047k-—BP—a-C/11.c r2_64-0
Property Owner(Please Print)
Pa 3o)e ste350
MailingAddress
6-A)1.1.7—LLf 7 2.7 1 Z.
City State Zip City State Zip
71q55_63RS5 (1 EA _SocoLt,rr.479-277 -
TelephoneNumber E-mailAddress TelephoneNumber E-mailAddress
I ha read and aderstand the requirementsof this r
SignaliiieofApplicant Date Si ture roperty 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 layoutof site and temporaryevent fixtures.
Approved: Planning Dept. Initials Date
Planning Mgr. Initials Date
(If Neighborhood Notification i r uired —See P -1?
Fire Dept. Initials Date —43
Public Works Dept.Initials PS Date 6 t 13
Police Dept. Initials 5–A Date -
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
•FOR FYI IAL USE ONLY
Fee Receipt #
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
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LOCATION# HBC2636 ORGANIZATION AMERICAN
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SIZE 8 X 32 TYPE
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SET-UP 6/25 DOWN7/7 LIGHTS
ADDRESS 8230 TALBERTAVENUE
INTERSECTION SEC OF BEACH & TALBERT
THOMAS GUIDE - COUNTY OC PAGE
SPECIAL INSTRUCTIONS
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