HomeMy WebLinkAboutTemporary Activity 20130033 - PageTAP
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Application.for 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)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mmidd/yyyy)bi 2 End Date of Activity:(mmiddlyyyy) 0 6 2
Description of Activity:6 /2 .S1 AJ
Location of Property/Address/Assessor's Parcel Number (APN):-
Busixss Name: UP iiv 13 Dull-% 1-OSSS
(21E-0R6 3-
Applicantor AuthorizedAgent(Please Print)
19q22.LCLIFF LJ
MailingAddress MailingAddress
l2.00.t.• 4..) s7 14-1,11,115
1
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Property Owner(Please Print)
pa.T.s.z00
N
City tate
(714 -1362.'Ass
(..4141035-5---q6-61 (cal)
TelepboneNumber ailAddress
I have read d erstand the requirements of this perm'
4-24-13
926
Zip City
45 14 CA eaSiOa
State Zip
ocAt • tr. SiZ-LIo -
Colo TelephoneNumber E-mailAddress
Sign re ofAppl..a Date S natu,eofProperty 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 layout of site and temporary event fixtures.
5e-e
FOR 0 FICIAL USE ONLY Fee
Receipt #
pi
Iat •
Bond Required: NO YES #
Approved: Planning Dept. Initials Date
Planning Mgr. Initials Date
(IfNeighborhood Notification is required —See PP-107)
Fire Dept. Initials Rile- Date
Public Works Dept. Initials D
S
Date 6
/
6 113
Police Dept. Initials Date _kJ -13
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forrns\ping\TempAct_Permit
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SALES ASSOCIATE LAURA LIRA
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SIZE 8
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TYPE OPM BACK
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SET-UP 6/25
DOWN7/7 LIGHTS
ADDRESS 10085 ADAMS AVENUE
INTERSECTION NWC OF BROOKHURST
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