HomeMy WebLinkAboutTemporary Activity 20140031 - PageTAP No 29V1—01
Application.for TemporaryActivity Permit
Shall not exceed 96 consecutive hours (except agricultural sales)
Must display a copyof 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)
Start Date of Activity:(mm/dd/yyyy)Cf^"5 1:5 V4 End Date of Activity:(mrn/dd/yyyy)AN 5
Description of Activity:62-IVcr..?T fib-. L7,TDfr1Li_QJ'1I'llJ1
Location of Property/Address/Assessor's Parcel Number (APN):/VVIrt ST 10
Business Name:-V-0 'S Wtckft
ep-oforri e s
Applicant or Authorized Agent (Please Print)Property Owner (Please Print)
s
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Mailing Address
1 t4 Le/v*1
City
eleph ne Number
Mailing Address
N N
State Zip City
tAiv\c^Ck"464.1vA "-t14
E-mail 0_ dress Telepho c Number
5Rtil cA °a 140
State Zip
N/A
E-mail Address
I ve r and unde stand the re uirements of this per
Signature of Applicant ate Signature ot Property wner
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layoutof site and temporary event fixtures.
V.E.EP eXITS LAR
pK- \\I krr Cik14°'4
—7_
DO Al07—EA/CtrOA-CI4
Approved: Planning Dept. Initials I Date
Planning Mgr. Initials Date
(IfNeighborhood Notification is required —See PP-107)
Fire Dept. Initials S. Date 5 23
Public Works Dept.Initials Date
Police Dept. Initials_Date
FOR 0 FICIAL USE ONLY
Fee Receipt #2—
Bond Required: NO YES #
Distribution:White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)GAforms\ping\TempAct_Permit
5
Date