HomeMy WebLinkAboutTemporary Activity 20140034 - PageTAP No.
Application.for TemporaryActivity Permit
0-31
•
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 s de icted on the diagram below for activity durati n o ly)
10amStart DateofActivity:(mm/c1d/yyyy End ate ofActivity:(mm/dd/yyyy)
DescriptionofActivity:c(r h
a i)
LocationofProierty/Address/Assessor'sParcel Numb r (APN): Soo PC
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
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BusinessName:fl 3
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Applicant or Authorized Agent (Please Print)
WO Pak
At- 101
Mailing Address
AlVjl
City State
314, 23.4-3
Telephone Number
DotiC
Property Owner (Please Print)
-3oopc)A cu
Mailing Address
Z 4-1 GtrIC1,1 61 7 (e'41(
State Zip
i4--.Goll.S310 ,3-eveAgnieb1/41Siiless
E-mail Address
Zip City
Qh e -4-Ecuy+. cam
E-mail Address Telephone Numbe
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I have read and understand the requirements of this
C./&//1
Signature of Applicant Date • ture of P opert Ow r te
Please provide a diagram in this space, showing location o tivity, irectional arrow showing north, streets
and/or landmarks, i.e. structures, and layout of site and tempor event fixtures.
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FOROFFICIALUSEONLY
Fee Receipt#
BondRequired:NO YES #
Approved:PlanningDept.Initials
PlanningMgr. Initials
(If Neighborhood Notificatio
Fire Dept. Initials
PublicWorksDept.Initials
PoliceDept. Initials
Date /
Date
C
S•
required —See PP;
D Date 6III
07)
Date Cv
Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\pingvrempAct_Permit