HomeMy WebLinkAboutTemporary Activity 20140024 - Page4
TAP No.11'Ofq O7ct.
Application.for TemporaryActivity Permit
Shall not exceed 96 consecutive hours (except agricultural saies)
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 of Activity:(mm/dd/yyyy)47/"1"/End Date of Activity:(mm/dd/yyyy)174 / 0/
Description of Activity:ore ran 0 enin Ceremoo eciaI S le
1 1-1 r••
Location of Property/Address/Assessor's Parcel Number (APN):6 0 artier ye
Pin n each ctl a if
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Business Name:aIm
Applican or Authorized Agent (Please Print)
5-96 0 Warner e
Mailing Address
I-Jun.6'1g n
City
7 lit Pia -87 /mh rK-2l4(ismail.coni
Telephone Number -mail Address Telephone Number
I have re and un
Sign ure of Applica
eci rS
P61/
State Zip
1-1-C,
Li
State Zip nehn cm,
E-mail A dress
-C.
Property Owner (Please P ,nt)
V 144
iling Addre $
City
1),-)62.5—col\-
stand the requirements of this mit
/ c20/.1(
Date Sig ature of Prop _ wner Date
-#14,-/c-7/P4- -o
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 temporaryevent fixtures.
If I/icbo
t r° tilvvVrt`ismos.
( Pei reict w Avt oV_
Catering Food
0-e-S
kQe0 0 eA--45-
-40._."-05 C-5
C.)Cet_t•—•
vSi'a2-er-ke_
L5-`4 D Waterier
20 10.
FOR FFICIAL iJSEONLY
Approved: Planning Dept. Mitials
Planning Mgr. Initials
(If Neighborhood Notification
Bond Required: N YES # SintFire Dept. Initials
Public Works Dept.Initials
Polic,f!Dept. Initials
Distribution: White Yellow Piok Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
Fee •Receipt #
Date
Date
uired —See PP-107)
Date
Date 4110114
Date