HomeMy WebLinkAboutTemporary Activity 20140063 - PageApplication.for TemporaryActivity Permit
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LocationofPropett7iAddress/AssesWf'sParcel Nnmber(APN):
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Itisiness Name ke)c, e•c- R-0
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Applicant nr Authcrized Ager! (Please pr Aint)Property Owner (lease Print)
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Pink Goldenrod
(Applicant) (Code Enforcement)
Distribution: White Yellow
(Planning) (Fire)
Shallnotexceed96consecutivehou:s(exceptagriculturalsales)
Mustdisplayacopyofthispermitonpremisesofactivitylocation
A maximumoffourevents/activitieseachcalendaryearareallowed
Violationofanyoftherequirementslistedonthispermitis subjecttoimmediate
issuanceofacitation
Permitted:outdoordisplayofgoods(banners,pennants,streamers,andflagsare
allowedasdepictedonthediagrambelowforactivitydurationonly)
Start DateofActivty.(inm/dd/ yy)'(1/0 '2Qt End Pate f Ac ivity:(mm/dd/y ) CI s-c
-4370
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ty
E.mail Address Telephone Number
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ciun witand the requirements ofthis permit
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Talephom Number E-mailAddress
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Xs, lure of Applicant
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Date)fignature of Pr ,:rty Owner
Please provide a diagram in this space, showing location of activity, dir ction-
and/or landmarks, i.e..structures,.and layout of site and temporary event fixtures.
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FOR I FF1CIALUSEONLY 4.1
Fee ,4ey Receipt#-dt LIT
Bond equired:NC'1E:3 #
PlnitirigMgr. Init1als Datecal-(f Neighborhcud Noffication is required -See P-1, 7)
.--Pclice Dept.,_ Initials ..i..
Date lc9 2'W/.4.
— Fire Dept. iMtial 1411.Dat40 to I,.ST PublicWorksDept.Initials
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Appfoved:Pla7.2ingDept.IrC.tials Date_1(2 11-
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Peach, CA 92648
PlanningDepartment
(714)536-5271•
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I. TAPNo.lo
Application.for Timporary Activity Permit
Shallnotexceed96consecutivehours(exceptagriculturalsales)_
Mustdisplayacopyofthispermitonpremisesofactivitylocation
Amaximumoffourevents/activitieseachcalendaryearareallowed
Violationofanyoftherequirementslistedonthispermitis subjecttoimmediate
issuanceofacitation
Permitted:outdoordisplayofgoods(banners,pennants,streamers,andflagsare
allowedasdepictedonthediagrambelowforactivitydurationonly)
StartDateofActivity:(mrn/dd/yyyy)I (",24.1 EndDateofActivity:(mm/dd/yyyy)el 2-0
.DescriptionofActivity: c-„T.('(c_"<.Pakt Lei
NANA —11
.LocationofProperty/Address/Assessor-I/ParcelNumber(APN): S 5 IWOii
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
BusinessName:
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Applicant or Authorized Agent (PreasePrint)
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Property Owner (Please Print)
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Mailing Address /
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Telephone Number ' E-mail Address Telephone Number
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AP'',I havereyand understandtherequirementsofthispermitx,...„----- .o i/
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1 _.....te_y*.kt,... .S-7'Pleaseprovideadiagraminthisspace,showinglocationofactivity,directionala-'1-1.o)A7showingnorth7streas
and/orlandmarks,i.e.structures;andlayoutofsiteandtemporaryeventfixtures. I,4 (
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City State Zip Cit7 State Zip
E-mail Address
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iglature of PrOperty Owner Date
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FOR FFICIALUSEONLY 63,
Fee lie!Receipt#T
BondRequired:NO XYES
Approved:PlanningDept.Initials Date l
PlanningMgr. Initials Date
Notificationiis required -See PIP-107)
Initials-J‘L
.
io, Date'/°/
.Initials 4 Date fc9/271//4
Initials MI? Date10'22v",
cni. (If Neighborhood
Fire Dept.141.-PublicWorksDept
---VoliceDept.
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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SignatureofProperty Owner
MailingAddress
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City State Zip City
TelephoneNumber E-mailAddress TelephoneNumber
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I have read and understan
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d the requirements of this permit
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‘Signature ofApplicant INte
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. Pink Goldenrod
(Applicant) (CodeEnforcement)
Distribution: White Yellow
(Planning) (Fire)G:\forms\ping\TempAct_Permit
Applicationfor 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 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
allowed as depicted on the diagram below for activity duration only)
Start Date of Activity: (mm/dd/yyyy)II /n End Date of Activity: (mm/dd/yyyy)'4),101 1 2 c.
/'. *Description of Activity:.. i . ,, t.. .1
.f .k I i 4 —41 g e .&...*, .c..........
Location of Property/Address/Assessor'i Parcel Slumber (APN):I P35fitt OMIp Tr;
Business Name:
Applicantor AuthorizedAgent(PleasePrint)Property Owner(PleasePrint)
,
MailingAddress
k ft
'•-"I'!"fe; -.Please provide a diagram in this space, showing location of activity, directional arrowsshowing nofthrstreets
and/or landmarks,i.e1:-structures, ricllayout of site and tempaary event fixtures. ,
172e,ZI
61-6-14:t-3()Nesni-kcAvi:Thi %Art AO.1r12A-r,fot-14111h.
Approved: Planning Dept. Initials t115 Date Ibir1.1-49,
Planning Mgr. Initials Date
014 (IfNeighborhoodNotificationisrequired—SeePP-107)
m Fire Dept. Initials Date -/
A45..Public Works Dept.Initials Date —
Police Dept. Initials Date
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
E-mailAddress
FOR OFFICIAL USE ONLY Li
Fee 4?)Receipt #11
Bond Required: NO X-YES #