HomeMy WebLinkAboutTemporary Activity 20140055 - PageTAP No.
Application•or TemporaryActivity Permit
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 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 d picted on the diagram below for activity durat.on o ly)
Applicant or Authorized Agent (PledsePrint)Prope-ty Owner (Please Pi-int)
'21
iling ddress
5 0.1 67—
N iling Address
44 CIA- L6
City State Zip City State Zip
Tel p lone umber E-mail Address Telephone Number E-mail Address
nd u the r q irements of this permit
9 /LI
ig ture Applicant Da .e Signature of roperty Owner Dat
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 temporaryevent fixtures.
1-404Vk 11 AV'e,
.11•11.
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach. CA 92648
Planning Department
(714) 536-5271
End Date of Acti ity:(mm/dd/yyyy)
Description of Acfivity: . 'CAA-- 2-
Location of Property/Address/Assessor's Parcel Number (APN):21 5 6 Z.13VDP k h
0unit ittblY2e-of,16.'. v -i-v ss Name:
/Start Date of Activity:(rnm/dd/yyyy) C/3
——
fi,vtr-tt 14tAiq3
01obiI3et5
21So 2
-e,avi414.0f5
FOR OFFICIAL USE ONO'
Fee 2/0 Receipt # 354•0 -5
Bond Required: NO YES #
Approved: Planning Dept. Initials Date
Planning Mgr. Initials Date
(IfNeichborhoodNotificationisrequired-SeePP-10 )
Fire Dept. Initials Date_,
Public Works Dept.Initials Date
Police Dept. Initials, Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forrns\plog\TempAct_Fermit
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
TAP No.
204
.441,6 .Application .for Temporary ActivityTerimi
Shall not exceed 96 consecutive hours (except agriculturallsales)
Must display a copy of this permit on premises of ad:04 location
A maximum of four events/activities each calendar,yearIre allpiwed
Violation of any of the requirements listed AthiPptermit i's1,8gbfectto immediate
issuance of a citation ,Ili & 1
Permitted:outdoor display of goodsi(banners,pennants‘ stplmers, and fins are
allowed as depicted on the diagram below for activity du?at.on only) c 1-45,11:i
1
1-12.‘Act2-4 C-i-eCO 6oe'r ..14,41417 -7
Location of Property/Address/Assessor's Parcel Number (APN):Z.I5 62-5y-00,4 hur-4 Vr1/4t*
-t"vBusiness Name: ,
(AohI I e>"
Applicantor AuthoriZedAgent(PleasePrint)
*2-1t-lb o I
'Property Owner (Please Print)
remakue9+- 677
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Start Date of Activity:(mm/dd/yyyy) /V/(.1 End Date of Actiyity:(mm/dd/yyyy)
Description of Activity: C CO-t.ij Vtk—CA7--•!--)
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MailingAddress
N
City —)
TeleplioneNumbe'r
1-1 2:64b
State Zip
i OrA Oi4-E-niailAddress —
MailingAddress
t4c4 . Pi-97,64th
City State Zip
(.714) (162 SC
TelephoneNumber 6 E-mal Address
I havezead7and u --ei's'ta'iP the reqUirementsof this permit
9
SigAture Applicant Date SignatureofItropertyOwner tate°
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.‘AvAvv‘,-\--ov. Pt\if„
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ey,\
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Approved: Planning Dept. Initials Date 7 11,l I
Planning Mgr., Initials, Date
(If NeighborhoodNotification is required —See PP-107)
Fire Dept? InitialS -- Date
Pul?licWorks Dept.InitialsW Date
Police Dept.,• Initials Date
-7 •
! FOR OFFICIAL USE ONIN
Fee 4-1?240. . :ReCeiPt‘tt,.'
fill Bond Required: NO=_YES -
I
Distribution: White Yellow
(Planning) (Fire)
Pink
(Applic'ant
Goldenrod
(Code Enforcement)
G:\forms\ping\TempAct_Permit
ttit •
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
PlanningDepartment
(714)536-5271
TAP
N
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.
Applicationfor TemporaryActivity Perritit
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.yeaCareallowed
Violation of any of the requirements listed orithill3 ermit
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issuance of a citation
Permitted: outdoor display of goods (banners, pennants; strdmers, and flags are
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allowed as depicted on the diagram below for activity duration only),...tr
Start Date of Activity: (mm/dd/yyyy)Ch II/ ( i End Date of Activity: (mm/dd/yyyy)q lArOt.
Description of Activity:T ti P.,'t %'1- ti„ (......1..,--C..0 r V-',.I..N t.112-•C.:_:::Df.5c lj 6 tttri-ie.,
i'Net.1.) i-6,0,7e---4.eN'4-i,rLocation of Property/Address/Assessor's Parcel Number (APN):Z.5 6 Z.,.13vot);-2,11,4-e,t'
t-‘.cf ?(-,((p,tit,. v_h_0(5-tt.0,111,1i4,,, 0 Itt44-.....1-e>3
Business Name: Tir1A ' ,i• r-1 (-11 v.'( '°'). 1 it' 1,-“' l'l cl. C' i'N"t b 1Nit.:-,•t
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Applicantor AuthorizedAgent(PlelsePrint)Property Owner(PleasePrint)
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MailingAddress MailingAddress
\44 NI 4r ''P/ZA( P q 64It--t-VA v4tIt
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City State Zip • City State
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TelephoneNumber
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E-mailAddress TelephoneNumber E-mailAddress
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have•read and understand the recptirementsof this permit
SighatureolApplicant Daie SignatureofProperty Owner Date
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landniarks, i.e. structures, and layout of site and temporary event fixtures.
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FOR-OFFICIALUSE ONLY
(•Fe& V7)-1 Receipt#
*Bond Requirdd:NO_YES #
Distribution: White Yellow
(Planning) (Fire)
Approved:PlanningDept.Initials t Date
, PlanningMgr. Initials
' Date
(IfNeighborhoodNotificationisrequired—SeePP-407)rFire Dept' Initials Date
PublicWorksDept.Inilials Date
PoliceDept Initials
' Date
Pink Goldenrod
(Applicant) (CodeEnforcement)
G:\forms\ping\TempAct_Permit