HomeMy WebLinkAboutTemporary Activity 20140064 - PageTAP No.qi9140A4
Application .for Temporary Activity 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 depicted on the diagram below for activity duration only)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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Start Date of Activity.(mm/dd/yyyy)X5 • I End Date of Activity:(mm/dd/yyyy)
Description of Activity:F'%tkor S
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Location of P perty/Address/Assessor's Parcel Number (A N):51 O...VKu. Ave-
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Property Owner(Please Print)Applicantor AuthorizedA ent (Please Print)
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MailingAddress MailingAddress
51 W Ave-S.:Fe.,I
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State Zip
E-mailAddress
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TelephoneNumb
915-35`.WI ha ead and unders nd the requirements ofthis perinit
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Signaturez'fApplican Date Signature r tie Owner
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.
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FICIAL USEONLY
I Receipt #.
Bond Required: NO YES #
Approved: Planning Dept. Initials Date 0 e
Planning Mgr. Initials Date
(If Neighborhood Notification is 1...e..quired—See PP 107)
--- Fire Dept. Initials943 tt--- Date #I
Public Works Dept. Initials 75 Date
Police Dept. Initials Date
FOR
Fee
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
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CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
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Applicantor AuthorizedAgent(PleasePrint)
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MailingAddress )
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SignatureofApplicantL1 Date Signatureof,PrtiVertY'Owner
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Please provide a diagram in this space, showing location of-ntivity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
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FOR 0 FICIAL USE ONLY
Fee Receipt #
Bond Required: NO YES #
Approved:
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DS Date 10123/14
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Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
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. II
TAP No.I TO —
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) t) "k End Date of Activity: (mm/dd/yyyy)tr:(-
Description of Activity: V \:eft titj tc.If)
~*0f 4 fi 4 (.)i
Location of ProjpertY/Address/Assessor's Parcel Number (APN):1
( „
s
•••
T
k.
GAforms\ping\TempAct_Permit
Pink / Goldenrod
(Applicant) (Code Enforcement)
Distribution: White Yellow
(Planning) (Fire)
BUsiness•Name:,
ApplicantorAuthorizedAgent(PleasePrint)
r t:it -L
1-**/
PropertyOwner(PleasePrint)
—7 7 1\1
MailingAddress.
r 1 kor tet 1,
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City
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TelephoneNumber
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I have read and understand the requirementsof this periMit
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State ZipCity State
.ry1r ,1'-114 1,4
Zip r /-
1\11,
E-mailAddres;E-mailAddress TelephoneNumber
SignatureofApplicant -)Date Signatureof-PritiPertYOwner Date
Please provide a diagram in this space, showing location of,ktivity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layout of site and tempVraryevent fixtures.
--Tt-4-40T-TT*frues
Pr.
Approved: Planning Dept. Initials rtt,f, Date 10/114na *Planning Mgr. Initials Date
(IfNeighborhoodNotificationisrequired- SeePP:107),
Fire Dept. InitialsL.1 Date •t
...pot-PublicWorks Dept.Initials r,s Date 10/7A1 /4,
Police Dept, _Initials Date
FOR OFFICIAL USE ONLY
Fee VI It Receipt # -711
Bond Required: NO YES #
eta
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
.,• -
---cr-;MailingAddress
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