HomeMy WebLinkAboutTemporary Activity 20140018 - Page•
TAP
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Application .for Temporary Activity
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Shall not exceed 96 consecutive hours (except agriculturai 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)
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
Start Date of Activity:(mm/dd/yyyy)L3 I End Date of Activity:(mm/dd/yyyy)Zq 201
Description of Activity:RE -14 —•
Location of Property/Address/Assessor's Parcel Number (APN): GOZ lt6 r Cr
Business Name: 7-
1 CA e
nc)
Applicant or Authorized Agent (PleasePrint)Property Owner (PleasePrint)
Mailing Address
-t1
4111111kCity
Telephone Number
I have re d understand t e requirementsof this permit
3 Z]
Signat pplicant Date Signature of Property Owner Date
Plea e provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks, :.e. structutes, and layo t of site ard temporary event fixtures.
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A-6Z.cP-1 e3
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State Zip
lire!)
niAci
Mailing Address
OfN en
City
11-1 "Iffe
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CA q-ZIPLico.
State Zip
E-mai ddress CapiTelephone Number E-mail Address
434
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wAmp_,co//r-14-ev E vApcm-P0A1Og LIE"
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FOR FICIAL USE ONLY
Fee Receipt #
Bond Required: NO YES #
Approved: Planning Dept. Initials Date ?,
•
so-
(
1
1
.
PlanningMgr. Initials
s_rf(!f NeighbcrhoodNotificatio requ;red—SeePP-I07)
— Fire Dept. Initials S Date
3 Z.tc-r-Public Works Dept.Initials D$ Date
Police Dent. Initials Date
Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (CodeEnforcement)
G:\foims\ping\TempAct_Permit