HomeMy WebLinkAboutTemporary Activity 20140017 - PageTAP
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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).Q2 C End Date of Activity:(mm/dd/yyyy)2---
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Description of Activity:
Location of Property/Address/Assessor's Parcel Number (APN):es,5-/ ,„.,La
411 /•,vey 114 A..)Iii-0-4 1
Business Name:e_ le._ t -AI - .
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Applicant or Authorized Agent (Please Print)Property Owner (Please Print)
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Mailing Address Mailing Address
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State Zip City
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E-mail Address Telephone Number
I h e read a d understand the requirements of this permit
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CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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City
7 -6 / V-
Telephone Number
State Zip
4°a -2
07
E-mail
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gnature of Applicant Date Signature ol'Property Owne,.Date
Please provide a diagram in this space, showlng location of activity, directional wrow showing north, streets
and/or landmarks, i.e. structures, and layoutof site and temporary ,eventfixtures.
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FOR OFFICIAL USE ONLY
Fee 2-B)Receipt # -2-61.51LO
3ond Required: NOY\_YES #
Approved: Planning Dept. Initials
(2?- Date
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Planning Mgr. Initials Date
(If Neighborhood Notification reVred - See PP-I07
Fire Dept. Initials_ / Date 3
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VPublic Works Dept.Initials Date
TVire Deft. Initials Date
Distribution:White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
GAforms\pIng\TempAct_Permit
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