HomeMy WebLinkAboutTemporary Activity 20140013 - PageTAP No.DA 4-1—j013
Application.for TemporaryActivity Permit
02,
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Plannin2 Department
(714) 536-5271
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 r.rmit is subjcx:ttc2iTrnicdiate
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:(rnrnicld/yyyy)-
Description of Activity: tvrt%'5U
End Date of Activity:(mm/dd/yyyy)3
Location of Preperty/Address/Assessor's Parcel Number (APN):A
Business Name:LT-727+ -cQaT., re-e4-
Et :I 5chirtlic
State Zip
E-mail Address
r
lbott4 d. I 2-A
Property 3wner (Please Print)
P.0.60xAE‘
Mailing Address
City
_133-4-3oo
Goo ett,
23-qd6 P
State Zip
Telephone Number E-mail Address
Applicant or Authoqzid,1 Agent (Please Print)
R--1S
Mai!ing Address
City
\
Telephone Number
I have rea an tiderstand the requirements of th
— I
Date
3- 1o-
DateSignature cf Applicant gnature of Property Owner
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
a.ndforlandmars,r.;f lierr pc,rarvevent fixtuTes.
J-Q l.k.;\V\ AV R._ c t (1:5C::AnS .A\A.Vvzi'S C,V\
\TA6Vts
It
cDP v--k<‘
FOR OFFICIAL USE ONLY
Fee Zbl DO Receipt #2-610Be@
Bond Required: NO4YES #
Approved: Planning Dept. Initials 111 Date
Plannirg Mgr. Initia!s Date
(IfNeighborhoodNotificatiouired —SeePP/-107)
Fire Dept. Initials_14X----- Date 3/ /
Public Works Dept. :nitials Date
Police Dept. Initials Date
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\pIngVrempAct_Permit