HomeMy WebLinkAboutTemporary Activity 20130031 - PageTAP
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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
all_owedas depicted on the diagram below for activity duration only)
Start Date of Activity:(mm/dd/yyyy)0 0 2.4:5i.3 End Date of Activity:(mm/dd/yyyy)0
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2C.)
Description of Activity:
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Location of Property/Address/Assessor's Parcel Number (APN):Wc)/ 4
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Business Name:
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Applicant cr Author;zed Agent (Please Print)Property Owner (Please Print)
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CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
M ling A dress
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City ciukci-2-141I(011-13
Telephone urn er
Mailing Address
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State .n.p k„ _.i
"LI ; I IC% ties COVYN
State Zip
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E-mail Address Telephone Number E-mail Address
I hveyead and understand t7requirements of this pe it
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Sieature of Applicant Date Signat e o Property 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 temporary event fixtures.
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FOR FFICIAL USE ONLY
Fee 2 Receipt #
Bond Required: NO #
Distribution: White Yellow
(Planning) (Fire)
Approved: Planning Dept. Initials Date 0 is 3
Planning Mgr. Initials Date
(If Neighborhood Notification is reaiired – SeeU.-103)
Fire Dept. Initials "A; Date
Public Works Debt.Initials D5 Date 6 j
6
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3
Police Dept. Initials_.17i Date /P.'-/3
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
TNT FIREWORKS NEWPAINT
SALES ASSOCIATE LAURA LIRA CITY HUNTINGTON BEACH
LOCATION# 1-113C0108ORGANIZATION EDISON HS MODEL UN
SIZE 8 X 32 TYPE OPM BACK DOORS 1 A-FRAMES 0
SET-UP 6/25 DOWN7/7 LIGHTS
ADDRESS 8891 ATLANTAAVENUE
INTERSECTION NWC OF ATLANTA& MAGNOLIA
THOMAS GUIDE — COUNTY OC PAGE GRID
SPECIAL INSTRUCTIONS PUT STAND ON MARKS. STAND STARTS IN THE 3RD
PARKING SPOT IN THIS ROW AND FACES ATLANTA.
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