HomeMy WebLinkAboutTemporary Activity 20140016 - Page0 1'4
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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)
Start Date of Activity:(mm/dd/yyyy)2--C<-10\End Date of Activity:(mm/dd/yyyy) C.)4C
Description of Activity:
Location of Property/Address/Assessprls Parcel Number (APN):_.11z_q_//i,e.(---
Business Name:rk) .
...._-
Applicant or Authorized Agent (Please Print Property Owner (Please Print)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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Mailing Address
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Mailing Address
n11,57/"e 9u7,3 , ' - a e
City State Zip
Telephone Number E-mail Address
City
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Telephone Number E-mail Addres
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State Zip
I have ead and mderstand the requirements of this per it
Sig ture of Applicant Date Signatur o perty wner
.
,
Date
Please provide a diagram in this space, showing location of activiy, direction&.atTowshowing north, streets
and/or landmarks, i.e. st.r.ctures, and i;.ayoutof site and temporaryevent fixtures.
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approved: Planning Dept. Initials Date 3 /14
Plaffrtifig-44-gf.Initials Date
(If Neighborhood Notificatio s required - Sze PP07)
--AFire Dept. Initial S• Date"3.I %A-
/ 5+...4.Public Works Dept. Initials DS Date 31
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Zv-,i.i.es-Rep&—Initials Date
FOR FF CIAL USE ONLY
Fee Receipt #
Bond Required: NO YES V #
seter t.
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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HUNTINGTONBEACH,CALIFORNIA92648-071117 1909
www.huntingtonbeachca.gov/payments
DATE )1 1H Issuing
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No.1274136
ISSUING
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HUNTINGTON BEACH
CASH BOND RECEIPT
CITYoF hUNTiNGTON bEACh
P.O.BOX711
HUNTINGTONBEACH,CALIFORNIA92648
(714)536-5200
CITYTREASURER- SHARIL. FREIDENRICH
DATE
RECEIVEDFROM 36.
ADDRESS t 44 0-
S,+re.r k1c..c ( bat 41-3 (0 613 ZIP
FOR t--)iY a (4)hot )(0(411 A )1- oft-
AMOUNT RECEIVED
CASH if.CHECK #
CI $
RECEIVEDBY
CASH BOND ACCT.706.22090
DESCRIPTION PERMITNUMBER AMOUNT
BUILDING MODELS
BUILDING RELOCATION
SUBDIVISION SIGN
CASH BOND —OTHER
Business Unit Object Sub-Account Amount
_73(. Oct C) 500.00
TOTAL $5 00
DATEPAID
CHECK NO.
BY
1No.T 24926 Flo uchr;;,
i;J[J:
ISSUINGDEPARTMENTCOPY
CITY OF HUNTINGTON BEACH DATE "5 S
DEPARTMENT OF
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'DEVELOPMENT SERVICES
CITY OF HUNTINGTON BEACH
BOND AGREEMENT
NAME OF APPLICANT FILING BOND "(Y fmet U A 0
ADDRESS: \,LI '''\2 \2.)(qY\'-\VAtickr-,0 4(CITY \rf \ 6w,kr....-
TELEPHONE(4) g CACI
*9_,)(,\0 ZIP CODE cl 2
BOND FOR:PE T NUMBER CASH BOND SU T BOND
SWIM POOL (CASH OR CASHIER'S #$ $
CHECK ONLY)
TEMP. DIRECTIONAL SIGNS #$ $
BLDG. MODELS #$ $
BLDG. RELOCATION #$ $
POLITICAL SIGNS #$ $
erTHER 7
IV)Ni)(%u-\(oc\#$ (7)Ci( ;-*- $9lig 2-(40
WCOMPLIANCE WItH APPLICABLE CONDITIONS OF THE HUNTINGTON BEACH
ORDINANCE CODE.SECTION )3c.S i
JOB LOCATION 0 \ ‘-Y A C c, 1 k_\o-‘
ton ( \Oft(-I(-,,,rp 1 2 64 9
NEAREST CROSS STREET 'ii\invmv I rt . )r, \ 0 11'C •-•
DISTANCE AND DIRECTION FROM NEAliEST CROSS STREET
LEGAL DESCRIPTION
(ATTACH PAGE IF NECESSARY)
SIGNATURE OF LAND OWNER OR AGENT _ -
ADDRESS I(I CITY VlitNi-Y v
NOTE:TERMINATIONOFTHISBONDSHALLBEAFTERFINALINSPECTIONAND
COMPLIANCEOFAPPLICABLEORDINANCECODESOFTHECITYOFHUNTINGTONBEACH.
COMPLETIONVERIFIEDBY DATE
BONDRELEASERECOMMENDEDBY DATE
PUBLICWORKSDEPARTMENTRELEASE BY DATE
(IF APPLICABLE).
WHITE: TREAS.
YELLOW: CUSTOMER
PINK:DEPT.
G:131.1ILDING:FORMS:COUNTER:BOND2
I/9/97