HomeMy WebLinkAboutTemporary Activity 20140029 - Page' .1
022 TAP No,
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)
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
la Start Date of Activity:(mm/dd/yyyy) C6/
Description of Activity:
j •
I EndDate of Activity:(rnm/dd/yyyy)ICN,5Dk
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.611A-h-):#3.0A,-:or(p ,
.Locatiiiiiof Property/Address/Assessor's Parcel Number (APN):
Business Name:
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Property Owner (Please Print)
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Mailing Addressca.a (-1 • 1
Applicant or Authorized Agent (Please
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MMling Address
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City
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Telep one Number
I have read and understand the requirementsof this peL-mit
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.Signature of Applicant Date ri.Signature of Property Owner
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State Zip
car COPrl
E-mail Address
Datl
State Zip City
rf1/14,
E-mail Address Telephon Number
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or la dmarks, i.e. structures, and layout of site and temporary event fixtures.
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Lv/1-5
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FOR 0 FI IAL USE ONLY
Fee Receipt #9--
Bond Required: NO YES #
Approved:Planning Dept. Initials_Date
,
Planning Mgr. Initials Date
.5-...ni,(If Neighborhood Notificatiokiquired —SeeP 107
' q +Fire Dept. Initials Date
kr, —Public Works Dept. Initials_n_Date 5)9114.
Police Dept. Initials Date
Distribution: White Yellow Pmk Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcemert)
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