HomeMy WebLinkAboutTemporary Activity 20140014 - PageTAP No. v1_OI LI
Application.for TemporaryActivity 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 anyof 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)
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mm/dd/yyyy)G Ill ti End Date of Activity:(mm/dd/yyyy)03
Description of Activity:WA.(t Ib 9-Rage fiet,
Location of Property/Address/Assessor's Parcel Number (APN):..ot fit"4"ace-c l.clt•irt
Business Name:CerkC Tir
wk k
Applicant or Authorized Agent (Please Print)
CIAPL Avt
Mailing Address
lb"
City
114 UV%
Telephone Number
Property Owner (Please Print)
187r- Jo....A t
Mailing Address
:ate S;1250
City State Zip
—4,00 Liors—
Telephone Number E-mail Address
oft jq
State Zip
E-mail Address
I h e re andunderstandtherequirementsofthis erm'
/14/W3 3/111,
Signature of Applicant Date 'nature of Property Owner Date
Please provide a diagram in this space, showing locationof activity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layoutof site and temporaryevent fixtures.
no Avec.
Li /NA ../e.*141
4 ce tosSit sec
PAc.
PARKI4/6
5446.) Poo.4—•
G bv/9RA)ER
?-7s
gc•-y„S gys Zsy,S
FOR OFFICIAL USE ONLY
Fee I Receipt # (XVloO%W01
Bond Required: NO YES #
Approved:Planning Dept. Initi&s Date I4 -
Planning Mgr. Initials Date
(If Neighborhood Notification is required —See PP-107)
5 Fire Dept. Initials t)At, Date
--Pohlic Works Dept. Initials Date
Police Dept. Initials Date
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\pIng\TempAct_Permit