HomeMy WebLinkAboutTemporary Activity 20140002 - PageCITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
TAP No.201 -O62-'
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 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
allowe as epicted on the diagram below for activity duraf on nly)
Start Date of Activity:(mm/dd/yyyy)
Description of Ac ivity:
C50
End Date of Activity:(mm/dd/yyyy)
Location of Property/Address/Assessor's Parcel Number (APN):
Busi ess Name:
Applicant or Authorized Agent (Please Print)
calLe a_
Property Owner (PleasePrint)
*Co Z._v-fft S r
/City(7/1/7/.7a617
eleph ne Number
Mailing Address
I h r hd
S natur of Applicant
Mailing Address
State
4.01
City 2'6
-mail Kcseistlid ,wyy) Telephone Number
the r u"e ents of this permit kret
Da Signature of Property Owner
9?-6
State Zi
E-mail Address
Date
Pleas 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.
COttfi
licr-Het NO-41.1
FOR 0 FICIAL USE ONLY Fee
I Receipt #
4
97 2 t6PP
Bond Required: NO YES #
Approved: Planning Dept. Initials Date
Planning Mgr. Initials Date
(ifNeighborhood Notificat required —SeePP-107)
Fire Dept. Initials Date 1- 6, -
Public Works Dept. Initials Date 1—6-7
Police Dept. Initials Date
Distribution:White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
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