HomeMy WebLinkAboutTemporary Activity 20140061 - PageTAP No.4AolLI—ge(
CITY OF HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
Applicationfor TemporaryActivity Permit
(714) 536-5271
Not to exceed 72consecutive hours (except agricultural sales).
Must dis la co o ermit on remises of activity location.
A maximum offour events/activities each calendar year are allowed. Must have separate approved
permits.
Violation of any o the conditions listed on this permit will result in immediate issuance of citation.
6
Ap licant or Auth ri Agent PleasePrint)
BusinessName
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MailingAddr ss
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City caa-a State Zip
Tde oneNumber FaxNumber
faZ27o
Proper Owner (Please ri t)
MailingAddr ss
t---aS CA-1W-10
Ci State Zip.23P -73
TelephoneNumber FaxNumber
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Description of Activity:
17,
o
Start & End Date(s) of Activity: I gO
Location of Property/Address:
TrafficEngineering
(unimprovedlots) Initials
Allowed
OutdoorDisplay
ofGoods
NOTE:Banners,
Pennants,Streamers,and
FlagsareAllowedas
DepictedonthisPlotPlan
forDateof EventOnly
DM
Fee
BondRequired:NO /ES #
0 OFFICIAL USE OpiLy„,
Receipt#WI -
TAP No.
Approved:
PlanningDept.
C FireDepartment
Date
NOT ALLOWED
Balloons
Inflatable
S
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s
A-Frame
S
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s
Live
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a
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Alcoholic
B
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(seereverse side for additional requirements)
Plot Plan
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I haveread d s d the o
Signature,o 4
/ Pro Owner
Distribution: White Yellow
(Planning) (Fire)
/IA
Date Appli ant
Pink Goldenrod
(Applicant) (Code Enforcement)
1D‘ISIif
Date
GAforms ping \TempAct_Permit
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