HomeMy WebLinkAboutTemporary Activity 20130032 - PageTAP No.el-0
Applicationfor TemporaryActivity Permit
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CITY OF
HUNTINGTCN BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Shall not exceed 96 consecutive hours (except agriculturai sales)
Must display a copy of this permit on premises of activity location
A maximum of four events/actjvities each calendar year are allowed
Violation of anyof the requirements listed on this permit is subject to immediate
issuance of a citation
Permitted:outdoor dispiay of goods (banners, pennants, streamers, and flags are
allowed as depicted on the diagram below for activity duration only)
Start Dae of Activity:(mmidd/yyyy)I S
Description of Acti7ity:e ocks
End Dote of Activity.(mmidd/yyyy)01 0 1
Location of Prop2rty!Address/Assessor's Parcel Number (APN):2,13 3c,v
ArBusiness Name:___E-Lfsb*Vk GA-VIC-1S
Du-rt-t went)lUS s TCH 6 (.1- Peom6NA 1)6
Applicant or Authorized Agent (Please Print)SoprteriLL.-Property Owner (Please Print)
02.1-5501.v.34"pa)
0 •
Mailing Address
X 337--Z.1190 13 cU
Mailing Address
City
040)03 -StiCO
Telephone NumberAE-mail Addre_ e.triunci 3 0W C.
c.ka
City State Zip
-- 54;7
i Telephone Number E-mail Address
11-(-1A/1-%
State Zip
I have re d under._ the irements of this per 1,
Signature o App • t Date Signety.e. of P-operty Owner
e.
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.
cq
FOR FFICIAL USE ONLY
Fee Receipt # '7--
Bond Required: NO YES #
Distribution:Yellow
(Planning) (Fire)
Approved: Planning Dept. Initials Date Otr3 (I
Plarning Mgr. Initials Date
(If Neighborhood Notification is required - SeeP -107) ..v,
Fire Dept. Initials_MC Date
Public Works Dept. Initials 0, Date G/NI 3
Police Deot. Initials Date to "k -13
Pink Goldeirod
(Applicant) :Code Enforcement)
G:\forms \p'ng\Temp!.cl_Permit.
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INTERSECTION SEC OF BEACH & ATLANTA
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