HomeMy WebLinkAboutTemporary Activity 20130036 - PageTAP No.e7A)(1
Application for Temporary Activity 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
allowed as depicted on the diagram below for activity duration only)
Start Date of Activity: (mmicid/yyyy) 0 7/0 fioi3 End Date of Activity:(mm/dd/yyyy)2 0 I
Description of Activity:1.eAroak_C
Location of Property/Address/Assessor's Parcel Number (APN): 150 SI i.
g Business Name:0 0
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CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Applicanto uthorizedAgent(Please Print)Property Owner(Please Print)
11)f_A-L-A-s/40 I cis--ktaweia)
Mailing dress MailingAddress
,6 2,2 eem qv-,61-7
State;City Zip City
97 WO' ti4 h ekal.co
Teleph neNumber E-mailA ress
I ye derstand t e requirements ofthis pe it
912os
State Zip
1 - 68-7 51
TelephoneNumber E-mailAddress
Si nature ofApplicant Date Signat ofPioperty 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 temporaryevent fixtures.
7)71 P
Approved: Planning Dept. Initials Date
Planning Mgr. Initials Date
(If Neighborhood Notification is required -See PP-I07)
Fire Dept. Initials ,e4c., Date -4' "13
Public Works Dept.Initials_14 Date g 6 13
Police Dept. Initials 9A Date
Pink Goldenrod
(Applicant) (Code Enforcement)
GAforms\ping\TempAct_Permit
711'FOR FFICIAL USEONLY
Fee Receipt # Z---
Bond Required: NO t/YES #
Distribution: White Yellow
(Planning) (Fire)
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SIZE 8 X 32 TYPE
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SET-Up 6/25 DOWN7-7 LIGHTS
ADDRESS 19081 GOLDENWEST
INTERSECTION SWC OF GOLDENWEST & GARFIELD
THOMAS GUIDE — COUNTY OC PAGE
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