HomeMy WebLinkAboutTemporary Activity 20140021 - Page• 02,62
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TAP No2014-1)2'
Application .for Temporary Activity 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 de icted on the diagram below for activity duration only)
Start Date of Activity:(mm/dd/yyyy)o 20 End Date of Activity:(mm/dd/yyyy)0
Description of Activity: E-t.)
Location of Property/Address/Assessor's Parcel Number (APN): 20 M QOL1 VEET . .
CITYOF
HUNTINGTONBEACH
2000 Main Strect
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Business e: iS 5 0 1 1 t-4
E-
Applicant or Authorized Agent (Please Print)
zo 0 1.4 412t0
1.LEE- V a
Property Owner (Please Print)
20 94 11/TE ET 113 .72&14
Mailing Address Mailing Address
CityStateZip
ENE—
E-mail Address
7
Telephone Number
2- 1/
ate
requirements of this p mi
Signature perty w r
City
(
7197 -2010
elephone mber
I hav re nd un
Signatur
State Zip
/ 5-cfilu y 5c06
-mail Address
DVO
Dat
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
andJorlandmarks, i.e. structures, and la out of site and temporaryevent fixtures.
ee,a-H-46171
FOR OFFICIAL USE ONLY
Fee -7-4I. t)(.) Receipt #
Bond Required: NO YES #
Approved: Planning Dept. Initials 11,-kDate
Planning Mgr. Initials Date
(If Neighborhood Notification is required —See PP 07)
Fire Dept. Initialg_t_Date
•
ZA:21+'
Public Works Dept. Initials D. Date
Police Dept. Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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