HomeMy WebLinkAboutTemporary Activity 20130081 - PageoL it?
TAP No 1 -4 13 -00(
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)
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mm/dd/yyyy)I —End Date of Activity:(mm/dd/yyyy)— (—/
Description of Activity: V
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Location of Property/Address/Assessor's Parcel Number (APN).
Buness Name:S
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Applicant or Authorized Agent (Please Print)
KL.,2S
Mailing Address
City State Zip
roperty Owner (Please Print)
"7-7-1-7
Mailing Address
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City State
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Zip
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Telephone Number E-mail Address Telephone Number E-mail Address
Signature of App 'cant Date gnature of Property Owner
tistA.
nderstand the requirements of this permit
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I have ad an
L••••"--I 2.irm
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.
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FOR FICIAL USE ONLY ,)/-
Fee Receipt #
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Approved: Planning Dept. Initials
Planning Mgr. Initials
(If Neighborhood Notification
..z Fire Dept. Initials
fiAT Public Works Dept. Initials
Police Dept. Initials
Date 41-
Date
is required —See PP-107) ,
C- Date /17/A.5//3
5. Date /4/2 7/29A/4—
Date
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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