HomeMy WebLinkAboutTemporary Activity 20140030 - PageTAP No. (4 - 030
Application.for Temporary Activity Permit
Property Owner (Please Print)Applicant or Authorized Agent (Please Print)
Mailing Address
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City
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StateZip
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Mailing Address
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DateDa e Signa re Property erSi ure ( Applican
Pink Goldenrod
(Applicant) (Code Enforcement)
Distribution: White Yellow
(Planning) (Fire)
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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:(mm/dd/yyyy) 5.:c2 -End Date of Activity:(mm/dd/yyyy)
Description of Activity:
LoVon of Property/Address/Assessor's Parcel Number (APN):
Business Name:
4/—//66/zeec gisliteer iVer fixoI have read nd understand the re uirements of this e mit
Telephone Number E-mail Address Telephone Number -mail Address
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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FOR OFFICIAL USE ONLY
Fee Z.-eceipt #
Bond Required: NO ES #
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Approved: Planning Dept. Initials
Planning Mgr. Initials
(If Neighborhood Notification is reouired —See PP-07) z
5- Fire Dept. Initials ienc Date
Public Works Dept.Initials 125 Date ,572z/LeL
Police Dept. Initials Date
Date__
Date
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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