HomeMy WebLinkAboutTemporary Activity 20140020 - PageTAP No
Application.for TemporaryActivity Permit
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Property Owmr (Please rint)
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Pink Goldenrod
(Applicant) (Code Enforcement)
Distribution: Whitc Yellow
(Planning) (Fire)
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 3f Activity:(rnm/dd/yyyy)4"--/End Date of Adivity:(mm/dd/yyyy)—/
Description of Activity: Wth14-149 R4011 2,420t s S.
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Location of Property/Address/Assessor's Parcel Number (APN):ii r •
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State Zip
_P—ClIdli.V.IaTp._CO117
E-muil Address
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Date
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FO ' OFFICIAL USE ONLY
Fe- %aoft Receipt #
Boni Required: NO YES #
Approved: Planning Dept. Initials
Planning Mgr. Initials 5-14 Cf.Neighborhood:Notification
Fire Der_ Initials Date
(SfPublic Works Dept.Initials t• Date
f.-Polic Dept. Initials Date
Date —
Date
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CITY OF
HUNT2sIGTONBEACH
2000 Main Street
Huntingtcn Beach, CA 92648
Planning Department
(714) 536-5271
S gn ture of Applicant 1-/143—Date Signatur •of Property Owner
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State Zip
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E-mail Address
erstand the requirements of this permit
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Mailing Address /
City
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'elephone Number
Mailing Address
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Telephone Number
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Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks. e. structus and layoutof site and temporaryevent
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