HomeMy WebLinkAboutTemporary Activity 20140008 - PageTAP No. f101q—Og
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 o y)
24 End Date of Activity:(mm/dd/yyyy) 0 0
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:00
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7-CA
Business Name:
•
Applicantor AuthorizedAgent(Please Print)Property Owner (Please Print)
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,A
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mm/dd/yyyy)
Description of Activity:•11
e,160 or •v
Location of Property/Address/Assessor's Parcel Number (APN):
F Av „
40.441.
315--E tk‘ halik
MailingAddress
ektA
City
3 0
TelephoneNumber
AVG.
State Zip
LAC.A4ktc l;CAAk
E-mailAddress
51 e_
MailingAddress
City State Zip
4.601 4a)(56-11626r
TelephoneNumber E-mailAddress
I have read,and understand the requirements of this per>
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na ure ofApplicant ate Sign re ofProperty 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 temporary event fixtures.
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FOR OFFICIAL USE ONLY
Fee i Receipt # 4"—
Bond Required: NO YES #
Approved: Planning Dept. Initials Date 1.
Planning Mgr. Initials Date
(If Neighborhood NotificationiNeAuired —See PP 7) ,
5-114"Fire Dept. Initials Date 70/l
(Sf. PoPublic Works Dept.Initials 105 Date
Police Dept. Initials Date
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\pIng\TempAct_Permit