HomeMy WebLinkAboutTemporary Activity 20140044 - PageTAP No. 21)1'4 OC)Liq
Applicationfor TemporaryActivity Permit
Location Property/Ad ress/Assm-:.,..'s Parzl Number (APN):•
Business Na
State
4142-iihrlr
Mailing Address
kit
City
tIr4)&crq -4CA_7N0A)Sifc.
G:\forms\ping\TempAct_Perinit
Pink Goldenrod
(Applicant) (Code Enforcerno.nt)
Distribution: White Yellow
(Planning) (Fire)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach. CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mm/dd/yyyy)
Description of Activity: ____e_kefLCAS0
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 requiremens listed on this permit is subject to immediate
issuance of a citation
Permitted: outdoor display cf goods (banners, pennants, streamers, and flags are
allowed s d picted on the diagram below for activity duraf n o ly)
3 4.End Date of Activity:(nun/dd/yyyy)2 /4.
Applicant or Authorized Age-' (Please Print)
Telephone Number
Property Own (PP'ase Prin')
Mailing Address
1.100F)424
City State Zip
74 3 g5seheift.I.or,
Telephone umber E-mail Address
120
Zip
E-mail Address
fz7/20/4
Sig titre of °rop t Owner tc
rain.in this spac,..t,showing location of acti7i d rcx.'ionalarrow showing north, streets
structures, and layoutof site and ternooraiy 4Attn.es,
000-50.,.;)
e req rements of this e it
-ate
1-1N24210*0
Appro.ied•Planning Dept. Initials 31\ Date 21 I
Pinning Mgr. Initials Date
Neighboliond Notification is required - See PP-107)
Fire Dept. Initials7`r;, Date
Public Works Dept. Initials Date
Police Dept. Initials Date
FOR OYFICLAL USE ONLY
Fee (13 Receipt #6192,-1
Bond Required: NO YES #
Signav.tt 3. 54p?kan':
I have re d and un d t
Ple .s>p, vide z-cli
an or I f77.af H