HomeMy WebLinkAboutTemporary Activity 20140026 - Page•
TAP No.Will "COUP
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 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)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mm/dd/yyyy)
Description of Activity: -
1." P.P
End Date of Activity:(mnVdd/yyyy)_6110
itE/AT--/AR
Location of Property/Address/Assessor's Parcel Number (AP ): l(052.0 eixoh
Business Name:
Applicant or Authorized Agent (Please Print 13,--overtyOwner (Please Print)
I66-9-0 Veg
LD
Mailing Add:-ess
•
City State Zip
-3-qS-- •T ephone Number E-mail Addr•ns
-5.0.551E
Mailing Address
97.2-5 E
City /Nig.....1r....4(-1 6c7,774-GL/State Zip 4192-64
2-6-4712?—g-k9 Z./‹.C.A.g.g)
Telephone Number E•mzii Address
ItirK 11
I have read a understand t e vequireme ts of this permit
nature of Applicant p rSignature of I'rope y wne Date
Please provide a diagram in this space, showing location of activity, dhectiona! arrow sho ing north, streets
and/or landmarks, i.e. structures, and layoutof site and temporary event fixtures.
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FOR TFICIAL USE ONLY
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-Approved: Planning Dept. Initials,Th
Fee Receipt #3025 GIG
Bond Required:NOi(:YES #
Distribution: White Yellow Pink GOdenrod
(Planning) (Fire)(Api)licanz) (Code-Enforcement)
GAforms\pIng\TempAct_r-'ermit
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140 $ LA)crty (,..
Planning Mgr. Initials
(If Neighborhood NotificationA,
—Fire Dept. Initials
—Public Works Dept.Initials E>5
*Po:ice Dept. Initials
D
uired - Sepyty
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ate
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