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
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1
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ii,t14 cL S*PLACM/e
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State
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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)
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