HomeMy WebLinkAboutTemporary Activity 20140022 - Page02 2
TAP No.
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 depicted on the diagram below for activity duration only)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mm/ddlyyyy)End Date of Activity:(mm/dd/yyyy)0/
Description of Activit :ce,'a GA—CC1--
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Location of Property/Address/Assessor's Parcel Number (APN):
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Mailing Address
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State Zip
E-mail Address
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App ant or Authorized Agent (Please Print)
Ci State Zip
Telephone Number E-mail Address
MailingAddress
City
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Telephone Number
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Propert wner (Please Print)
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I ha e readandunderstandtherequirementsofthisper
Sig ature of Applicant Date Signature of Pr
it
d ir
erty 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 layoutof site and temporary event fixtures.
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FOR21FFICIALUSEONLY
ee 1 I Receipt #30"g t
Bond Required: N0_4YES #
Approved: Planning Dept. Initials Date
Planning Mgr. Initials Date
(If Neighborhood Notificatio required -See PP
Fire Dept. Initials Date
Public Works Dept.Initials Date
Police Dept. Initials Date
Distribution:White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit