HomeMy WebLinkAboutTemporary Activity 20130035 - PageTAP No '2-0 t3
Application.for TemporaryActivity Permit
Shall not exceed 96 consecutive hours (except agricultural sales)
9 Must displaya 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 citaticn
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)01 0 i 13 End Date of Activity:(mmidd/yyyy)0 7 201
Description of Activity:0
Location of Property/Address/Assessor's Parcel Number (APN): i cf6 "/6-/3 6A-C LA/b
Bus ess Name:
Applicant or Authorized Agent (Ple-aseP t)D
Mailing Address
2 '7
State Zip
g931--FY7- wit
Telephone Number E-mail Address
,
‘4$
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
il
State Zip City
Y'I
E-mail Ad3, ess
Property Owner (Please Print)
6 OX 9DS3 0
Mailing Address
t.)-70 kJ"; 0
ity
71 -
clephone Number
I v read and
ign ure of Appli nt
derstan1l the req irements of this per
I
Date Signatur of P operty Owner
(rep
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.
FOR 0
Fee
Bond Required: NO YES
Distribution: White Yellow
(Planning) (Fire)
FICIAL USE ONLY
eceipt #2o1--
Approved: Planning Dept. Initials Date •
Planning Mgr. Initials Date
(IfNeighborhood Notification is rvired —SeeP.P-107'
Fire .)eot. Initials /AC- Date -1
Public Works Dept. Initials 05 Date 6 /6// 3
Police Dept. Initials A Date L/-/3
Pink Goldenrod
(Applicant) (Code Enforcement)
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