HomeMy WebLinkAboutTemporary Activity 20140045 - Page0 TAP No UtLf OL15.
Application.for TemporaryActivity Permit
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mm/dd/y yy) 11511-oti-I End Date of Activity:(mm/dd/yyyy)
Description of Activity:
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
awed as depicted on the diagram below for activity4luration only)o
Location of Property/Address/Assessor's Parcel Number (APN):
11—L,0••••• •
Business Name:_
bec t
Applicant or Author
-
ized Agent (Please Print)
T-
Mailing Address
piTIN VöNJ
City
—114
Telephone Number
sAlsi_b_w(
property Owner (Please Print)
Lcrz rti-4-,ci-
Mailing Address
Lf f•rON 6t-TAcki- CA-
City State
W50 1---14(p—
Tel. hcre Number
ga3Of
State Zip
E-mail Address
Zip
E-mail Ad ress
nde stand the r qv ements of this per itI a ad an
Signature of Applicant
1...0 4P1
Date Signature ?t.Pro etty Owner Date
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..j1
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FOR OFFICIAL USE ONLY to 4
Fee Receipt #
Bond Required: NO YES #
grm- 1:.Dted A
Approved: Planning Dept. Initials ate
Planning Mgr. Initials Date
(If Neighborhood Notification•required —See PP
— Fire Dept. Initials Date
— Public Works Dept. Initials P 5 Date )ll 4-
...–••PoliceDept. Initials I:10 Date
Distribution: White Yellow Pink Goloenrod DL%k/t-ICOotn,L,
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\pIng\TempAct_Permit