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CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach.CA 92645
PlanningDepartment
(714) 536-5271
Application for Temporary Activity Permit
Shallnotexceed96consecutivehours(exceptagriculturalsales)
Mustdisplayacopyofthispermitonpremisesofactivitylocation
Amaximumoffoureventsfactivitieseachcalendaryearareallowed
Violitionofanyoftherequirementslistedonthispermitissubjecttoimmedia
issuanceofacitation
Permitted:outdoordisplayofgoods(banners,pennants,streamers,andflagsat
allowedasdepictedonthediagrambelowfar activitydurationonly)
Start Date of Activity; (mmiddfyyyy) I 11 1
Description of Activity:
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Lo tion of Property/Address/Assessorrs Parcel Number (APN):
End Date of Activity: (mm/ecifyyyy)01
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Business Name:
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AppleantorAuthorized (PleacePrint)1
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1‘ailingAddress
. City State Zip
TelephoneNumber E-mailAddrm
e -ea6—erequirem
SI atureofAp cant Date
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PropertyOwner(PleasePrint)
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MailingAddrus
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City
4/7-13
TelephoneNumber
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Si atureofPropertyOwner j
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State
E-mailAddress
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Fee /1-V,1 •'"keeeiii#'bes*BondReqatred:;4 Ip•ZYES, #
Approved;PlanningDeptAilitiale 'tlite I
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PlanningMgr,initials ,Date—
—Initials •
(IfNeighborhoodNotificationIsreqUired-, SeePP-107)
Fire Dept:.
__..—Public WorksDept.Initials.0 $
"Date. Police Dept. ..1.tritials
Distribution: White Yellow(Plimning)(Fire)Pink . Onidemod
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