HomeMy WebLinkAboutTemporary Activity 20130080 - PagecA,
TAP No./2-013-050
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)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
igStart Date of Activity:(mm/ddilyyy)
Description of Activity: C
End Date of Activity:(mmirld/yyyy)
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Location of Property/Address/Assessor's Parcel Number (APN):WNAIN VD
Business Name:
PN1,01
NeNt-De,d
un1 e-D
Applicant or Authorized Agent (Please Print)
1 —
Mailing Address
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City
tlirlvf 1 411 -
elephone Number
Property Owner (Please Print)
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Mailing Address
CW-4+ CA 61 (PLI 1/4)NTTkr,)r/A
State Zip City State Zip
DANKIAWA 014 --11-4u-0,--r22.a A
E-mail Address Telephone Number E-mail Address
I a ead and u ersta the requirement of this per i
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Sign e of Applicant Date Signature of 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 layout of site and temporaryevent fixtures.
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Approved: Planning Dept. Initials Date
Planning Mgr. Initials Date
(If Neighborhood Notification)okirerc31- Sfsly-107)/
Fire Dept. Initials / ate/7 a'Yl
Public Works Dept. Initials PS Date 12424)13
Police Dept. Initials Date
FOR OFFICIAL USE ONLY
Fee Receipt #
Bond Required: NO YES #
1_1.464,1-
15 .
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\pIng\TempAct_Perrnit