HomeMy WebLinkAboutTemporary Activity 20140025 - Page0
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Application.for TemporaryActivity 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)
Start Date of Activity:(mm/dd/yyyy) Lir •al End Date of Activity:(mm/dd/yyyy)(Li
Description of Activity:(6iottwaftk,
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Location of Property/Address/Assessor's Parcel Number (APN):
Business Name:
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CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Applicant or A orized Agent (Please Print)
1111CILta
Mailing Address
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Property Owner (Please Print)
Mailing Address
City State Zip
Telephone Number E-mail Address
City State Zip
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Telephone Number E-mail Address
ye read an understand the requirements of this permit
Signature of Appl ant Date Signature of Property 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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FOR 0 FICIAL SE ONLY
Fee Receipt #
Bond equired: NOg_LES
Distribution: White Yellow
(Planning) (Fire)
Approved: Planning Dept. Initials Date -2/4
Planning Mgr. Initials Date
(ifNeighborhood Notification isirsQuired-S
Fire Dept. Initials X.PC- Date
Public Works Dept. Initials DS Date
Police Dept. Initials Date
Pink Goldenrod
(Applicant) (Code Enforcement)
GAforms\ping\TempAct_Perrnit
CITY OF
HUNTINGTON BEACH
2(5X)Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
S
Location of Property/Ad
Lk
Business Nam .
T.P P
Application for Temporary Activiq Permit
Shallnotexceed96consecutivehours(exceptagriculturalsales)
Mustdisplayacopyofthispermitonpremisesofactivitylocation
Amaximumoffourevents/activitieseachcalendaryearareallowed
Violationofanyoftherequirementslistedonthispermitissubjecttoimmediate
issuanceofacitation
Permitted:outdoordisplayofgoods(banners,pennants,streamers,andflagsare
allowedasdepictedonthediagrambelowforactivitydurationonly)
Start Date of Activity:(mm/Octlyry) j 4 •dji • ILi- End Date of Activity:(mmatlyyyy)
Description of ctivity:U.)4-
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's Parcel Number ( : L9 a. 0 C'
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e libletvesfeirl.TA,
ApplicantorAuthorisedAgent(Plc=Print)Property Owner(PleasePrint)
Tamon aryouo
MailingAddress
I‘C ‘11LCI*C9tC,liat ti1340 q21124
M Address
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City State Zip
114—Cf-15-5i&
TelephoneNumber E-mailAddress (Metz -cor...‘fe phoneNumber
4-State
72-
tip
E-mallAddress
h e read an erstand the requirements of this pe
t of A •Date Signature Owner/4 6,Date
Pleaseprovideadiagraminthisspace,showinglocationofactivity,directionalarrowshowingnorth,streets
and/orlandmarks,i.e.structures,andlayoutofsiteandtemporaryeventfutures.
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Distribution: White Yellow
(Planning) (Thre)
Pink Goldenrod
(Applicant) (Code Enforcement)
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