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HomeMy WebLinkAboutTemporary Activity 20140007 - PageoL TAP No. 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 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) CITY OF HUNTINGTON BEACH 2000 Main Street untington Beach, CA 92648 PlanningDepartment (714)536-5271 Start Date of Activity:(mm/dd/yyyy)0 2 0 Description of Activity: or:,End Date of Activity:(mm/dd/yyyy) 0-40 Zo /41 a / Sae. Location of Property/Address/Assessor's Parcel Number (APN): 00 Business Name: 2 s c.,04, €0-1 Applicant or Authorized Agent (Ple Print)Property Owner (PleasePrint) Lk at9C A(rt.) Mailing Address Mailing Address FrO CA-9-2---1 Scuvv-e-, City tate Zip City Zip 2,2, 2--9'42—?6,9 ZI PS Telephone Number • E-mail AddrKs g, Telephone Number E-mail ddress Lft Lev I kol tit , I have e andzunlerstand the re uirements of this permit ig at e of ppli nt Date ignature of Priiperty 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 tern orary event fixtures .v p Aa-rsf to kitif Arif) l 1 f 1 0,(It pttio,,c ii,t14 cL S*PLACM/e cxi if 1 State Com 2.1 7-0 02k-/ 5 00,2.uJos.L1 FOR OFFICIAL USE ONLY Fee Receipt# BondRequired:NO YES # *Approvd: PlanningDept.Initials Date 2. / PanningMgr. Initials Date (If Neighborhood Notification is uired – SeePP-I07 tt Fire Dept. Initials Date *Public WorksDept.initials Date PoliceDept. Initials Date Distribution: White Yellow Pink Goldenrod (Planning) (Fire)(Applicant) (Code Enforcement) G:\forms \ping\TempAct_Permit