HomeMy WebLinkAboutTemporary Activity 20140027 - PageCITY OF
HUNTINGTON BEACH
2003 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
JAP
•
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 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:(mmidd/yyyy)End Date of Activity:(mrn/dd/yyyy)01
Description of Activity:
2 31,0e-1 o to •
Location of perty/Address/Assessor's Parcel Number (AEN):
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Business Name:r C
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Applicant or Authorized Agent (Please Print)
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Mailing AddressCo (\At szt CA €12A.2t,
Property Owner (Plea
Mailing AtIrs.
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Print)
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City State 7Ap a y
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Telephone Number &mail Address CO ephone Number
State 7Ap
E-mail Address
nderstand req "rementsof this
2.I
Si turc of Applicant ate ig ure 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 layout of site and temporary event fixtures.
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.Receipt#
ApprOved:.PlaniiingDept:initials: . Mel.'• 1.-1.-
:PlanningMgr.:Initiils •, Li.te ' '-• • •
Fire 'DePt. •. •Initials • - .bat.e:
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Public WOrkibelit: ifiitials . ".D'ate 'NMI;
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Distribution: White Yellow Pink Goldenrod
(Planning) (Fire) " (Applicant) (Code Enforcement)
GAforms \ping TempAct_Permit