HomeMy WebLinkAboutTemporary Activity 20140039 - PageTAPNo.PA-2_11_
Application.for TemporaryActivity Permit
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SA--41tf.LocationofProperty/Address/Assessor'sParcelNumber(APN):
Mailing Address
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City
Telephone Number
26
State Zip City State Zip
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E-mail Add.Telephone Nurriber E-mail A dress
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Applicant or Authorized ent Please Print)Property Owner (Please Print)
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K4—allinAddress
SIgnature of 'r ert.y wner aIeateSignature Applicant
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Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Perrnit
Shallnotexceed96consecutivehours(exceptagriculturalsales)
Mustdisplayacopyofthispermitonpremisesofactivitylocation
Amaximumoffourevents/activitieseachcalendaryruArareallowed
Violationofanyoftherequirementslistedonthispermitis subjectto immediate
issuanceofacitation
Permitted:outdoordisplayofgoods(banners,pennants,streamers,andflagsare
allowedasdepictedonthediagrambelowforactivitydurationonly)
11‘2.Sta7t of:Activity:(mm/dd/yyyy)--l.knd DateofActivity:(mm/dd/yyyy)
DEscrinqonofActivity:
BusinessName:
Ihave read nd understand the quirements of this permit
Pleaseprovidea diagram n this space,showinglocationof,activity,directionalarrowshowingnorth,streets
and/orlandmarks,i.e.structures,andlayoutofsiteand temporary evf=mtfixtures.
FOR OFFICIAL USE ONLY
Fee Receipt #
Bond Required: NO YES _#
Distribution: White Yellow
(Planning) (Fire)
1.4
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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Approved: Planning Dept. Initials_Date ? —10-14
Planning Mgr. Initi?ls Date
(If Neighborhood Notificatio•s required —SeePP- 07)
Fire Dept. Initials Date
Public Works Dept.Initials 1 Date
Police Dept. Initials Date 7 -9-
The HBFD requirements/conditions of approval are as follows:
123 Main St.
- Provide a 2A:10BC fire extinguisher
- Do not block means of egress from buildings
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