HomeMy WebLinkAboutTemporary Activity 20140011 - PageTAP No. let4 oil
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 only)
Start Date of Activity:(mmiddiyyyy) 63\al 2_0(44 End Date of Activity:(mmtdd/yyyy)0 2-0
Description of A tivity:
•
Location of Property/Address/Assessor's Parcel Number (APN):
Business Name:
ApplicantorAuthorizedAgent(Please Print)
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PropertyOwner(PleasePrim)
MailingAddress MailingAddress
02 Liq cA.4_
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
City
TelephoneN
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umber
State Zip City
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E-mailAddress TelephoneNumber E-mail ress
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I hay ead understand the re uirements of this permit
2._
ignatureofApplicant Date SignatureofPropertyOwner Datc
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 FFICIAL USE ONLY
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Approved: Planning DeptAnitials Date • -5
Planning Mgr. Initials •Date • cat •arNeighborhood Notification is required - See PP-
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Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
GAforms \ping \TempAct_Permit
crryOP HUNTINOTONBEACH
MOMein9trea HuntingtonBeach,CA92d47t
MaimingDepartment
(714)536-527)
TAP.NO,
Applicationfor TemporaryActivityPermit
Shallnotexceed96consecutivehours(exceptagriculturalsales)
Must&splayacopyof thinpermitonpremisesof activitylocation
Amaximumoffourevents/getivitieseachcalendaryea]areallowed
Violationof anyof therequirementslistedonthispermitissubjecttoimmediate
issuanceofacitation
Permitted:outdoordisplayofgoods(banners,pennants,streamers,andflagsare
allowedasdepictedonthediagrambelowforactivitydurationonly)
Stall DateorActivity:Onadddinfril 6 3\14d2-614 EndDateorActhity:(rnnondlyyyy) tq 114
DesolationorActivity:
LocationofProperty/Addrees/AesexeoeftParcelNumber(APN):
BadnessName:
ApparentorAntborhedAgent(PiemNot)
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TelephoneMunk.,&nal(a-nmaAndres
hay ad understandth ts ofthispermit
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PropertyOmer(Magirtirti)
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*OPEAddren
TelephoneNumber
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105wat Ceog
toofApplicnnt Strew. et owner
Pleaseprovideadiagraminthisspace,showinglocationof activity,directionalarrowshowingnorth,streets
and/orlandmarks,i.e.structures,andlayoutofsiteandtemporaryeventfixtures,vAe-vc*y‘Dr-
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