HomeMy WebLinkAboutTemporary Activity 20140028 - PageTAP No CiA5(q--01243).
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
02,c
•
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
allowed as depicted on the diagram below for activity durati n onl
Start Date of Activity:(mrn/dd/yyyy) 14 14'
10 1 Li EndDate of Activity:(mm/dd/yyyy)
Descriptionof Activity:
—-5 •
Location of Property/Address/Assessor's Parcel Number (APN): I S 1-B1A-C4+LYP.
Business Name:/77
Tel Number
V/
Applic ii or Authorized Agent (Please Print)
Mailing Address
City State Zip
q4c,ft-7-2q 6
ProperP, Owner (Pleast) z
TYAC k /dr
Mailing Address
&411.Affpdt_sat./. 360
City,a"opt*State Ciek_ Zip 9 2 ,6 63
E-mail Address Telephone Number -mail Address
I have r ad and unstand the requirements of this permitr
Signat •of Applicant Date
Please provide a diagram in this space, showing locationof activity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layoutof site and temporary event fixtures.
)ignatcre of Propert.7 Owner Date
Approved: Planning Dept. Iiitials Date
Planning Mgr. Initials Date s—ru.(If Neighborhood Nctification is t4red —See PP 107)
—Fire Dert. Initials Date c a
1ST-—Pub;ic Works Dept. Initials C Date
Police awt. Initials__ Date
Enk Goldenrod
(Applicar0 (Code Enforcement)
G:\forms\pIng\TenipAct_Permit
FOR OFFICIAL USE ONLYMIFee14Receipt #
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
MOB ADDITION TYPEII-B3STORY=MIN arMIX CIDY.k‘ 55413 SFPM CM 51E11EXISTINGMOBTYPE1r . •3 STOR52,117 SF\IfEllC.0 .•is••1-TICOANTi; • :•000•0'1=-700 04S. •I • •r I14 1Ir 21r.iSI&v67-1.111/C---—1NO46, /-/-461--)./ CCavre.--71-\,644/,‘ofi6vv/ 6=v6=-10—,47044.Z.6)3O)g