HomeMy WebLinkAboutTemporary Activity 20140023 - PageVr G- S
Property Owner (Please Print)
Mailing Address
Applicant or Authorized Agent (Please Print)
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Mailing Address
Signature of Applicant Date Signature of Property Owner
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G:\forms\ping\TempAct_Permit
Pink Goldenrod
(Applicant) (Code Enforcement)
Distribution: White YelloW
(Planning) (Fire)
TAP
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(1°6113
Applicationfor TemporaryActivity Permit
Shall not exceed 96 ccnsecutive 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:(mm/dd/yyyy 0 End Date of Activity:(mrn/dd/yyyy)
Description of Activity
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Location of Property/Address/Assessor's Parcel Number (APN):
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Business Name:VAA.
City State Zip
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Telephone Number E-mail Address
I ha ead a und nd the requirements of this
State Zip
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E-mail Address
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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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CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
City
.0
Telephone Number
Approved: Planning Dept. Initials
Planning Mgr. Initials
(If Neighborhood Notificatii)
CI%Fire Dept. Initials
PublicWorksDept.Initials
PoliceDept. Initials
Date
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Date
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Date
FOR FFICIAL USE ONLY
Fee to Receipt #(s-67
BondRequired:NO YES #