HomeMy WebLinkAboutTemporary Activity 20140010 - Page022, ati?
TAP No 20 H- Opto
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 calendaz year are allowed
Violation of any of the requirements listed on this permit is subject to immediate
issuance of a citation
Permitted: cutdcor display of goods (banners, Fennants, streamers, and flags are
allowed as depicted on the diagram below for activity duration oniy)
CITY OF
HUNTIN3TON BEACH
2000 Main Street
Huntington Beach, CA 92648
- Planning Department
(714) 536-5271
2-Start Date of Activity:(minidd/yyyy)/
Description of Activity:
End Date of Activity:(inm/dd/yyyy)
L acation of Property/Address/Assessor's Parcel Number (APN): 7-1 s-
--32-(-03
Busin s Name!
OVA
Applicant or •ithorized Agent (Please Prim)
‘4 LB-M iling Address
Property Owner Please Print),.,
4-
M• iling Address
14 r 6-e)Pc_tACO-
ity
Telephone Number
Lip,
AoL
Stote Zip ay State
U-i24 -7-eXP cu,g
E-mail A dress Telephone Number E-mail Address
e f.ad_an_d t requirementsofthispermit
.2.-
pe
Signatur. of A.. nlicant Date Signature of Property wner
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/oi landmarks, i.e. structures, and layout of site and temporary event fixtures.so/Iiromi Actis5 /7
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FOROFFICIALUSEONLY
Fee A77,0 Receipt #2-91 2.
Bond Required:NON( YES #
Approved: Planning Dept. Initials AN Date 20
Planning Mgr. Initials Date
(ifNeighborhood Notification is r quired - See PP 107)
Fire Dept. Initials Date
Public Works Dept. Initials PS Date
Police Dept. Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
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