HomeMy WebLinkAboutTemporary Activity 20140003 - PagetiTAP
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. lAlq--003
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 evc.nts/activitieseach calendar year are allowed
Violation of anyof 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)20 ILI End Date of Activity: (mIdd/yyyy)0
Description of Activity:
Location of Property/Address/Assessor's Parcel Number (APN):2
Business Name:
CC .
Applicant or Authorized Agent (Please Print)Property Owner (Please Print)
no_i___r ._215 0'2 ?rooV-Vu-)rS A- St-Nr-42.12,*--
Mailing Address Mailing Address
razackCAcilipLui,‘A CA ci2V-tV
-ity State Zip Cit 114 State Zip
Telephone Number E-mail Add-ess Telephone Number E-mail Address
I hay read and u erstand the requirementsof this permit
o
Date
12
Datc Signature of Prcperty OwnerSignature of Applicant
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. 0U...a n
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OTY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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FOR
Fee
FFICIAL USE ONLY
'20 Receipt #1-13SIct-
Bond Required: NO YES #
Approved: Planning Dept..Initials •Date
Planning Mgr. loitials US Date
-
5 (14 (If Neignborhood Notrication • ired - See -!0
•-•Fire Dept. Initials Date
/
6
PulrilicWorks Dept.Initials DS Date I 14-v.Police Dept. Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(A2plicant) (Code Enforcement)
G:\forms\pIng\TempAct_Perinit