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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 e ' :00 cc.eras* Scil 7-CA Business Name: • Applicantor AuthorizedAgent(Please Print)Property Owner (Please Print) 0 ,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> ).4 -ad9 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. MACFitroE"/1\) 4-- fg ?tog/T-AzA) regr Act Orr LiCA-5-1 Sb Fey's') P-t ocvssroeolol CiAssroe.PIS ek,Growl cl 1 IcA--o 3CAtC, VIcomowsI (Aggro:n*6 Cl4s5racerIS 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