HomeMy WebLinkAboutTemporary Activity 20140019 - Page3e;o0\41‘•\611c 5e4+t)
TAP No 9a
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 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)
Start Date of Activity:(rnm/dd/yyyy)03-22— Vol LI End Date of Activity:(mmIdd/yyyy) O
C2.-201
Description of Activity: v2-esCCfr— SS —Prz.Ez./
Location of Property/Address/Assessor's Parcel Number (APN):-73 I 42.bi 4Ge kte.,
Business Name:VA\ilf‘ ‘t•I AvA—V"otI cA\cvn
34zst L V 1 "1'n us or
Applicant or Authorized Agent (Please Print)Property Owner (Ple e Print)
-73(0 I fv6e.q.t o 2.La COhyrc1/4 Dr
I 02 c
IIIrk4 •
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Mailing Address
CA cf2J043_
City
- ail Address
Ana CP.c
Mailing Address
Ci y
4414-ner (Li -7
Te epho Number
State Zip
E-mail Address
er.11,-1 Scici 3k>00
Te I:phone Number
Ih e adandunderstandtherequirementsofthispermit
03-1D— 2D14
Sig re of plicant Date
State Zip 0
-462-G ear-14)11;41;
net
T ikr-03/17/#1
ture of l'roperty Owner Date
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
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150 on.(1
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FOR FFICIAL USE ONLY ry
Fee 61-0 Receipt #'200 60 •
Bond Required: NO YES #
Approved: Planning Dept Initials Date_ '1 '
PIERIA;r4-M-grr-tni tials----EfAte 51 (l 4mod Notificationpioluired - See P -10ire )
Initials y\j/J Date .261
1;9.. Wor ept. Initials D5 Date
Distribution: Whtte Yellow Fink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\pIng\TeinpAct_Permit