HomeMy WebLinkAboutTemporary Activity 20140066 - PageIf vio A:4n
Business Name:
Mailing Address
City
A plicant or A thorized Agent (Please Print)
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--7(064
11 Erg
ate
ts of this r it
Sig of troperty 0 er
.FFA
-TAP-No.-OCV4
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)
Start Date of Activity:(mm/dd/yyyy)I End ate of Activity:(mm/dd/yyyy) •—•
Description of Activity:e.-
tion of Property/Address/Assessor's Parcel Number (APN):Ct
2_
Telephon Number
I ha ead and unders d t equir
-
Si re of Applicant Date
Property Owner (Please Print)
LA Al on 13 d
Mailing Address
sin itY10
State Zip
9
E-mail Address
State Zip City
5i vist-Lun a
E-mall Address -y4 al gielrfelephone Num
t•-)z3
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
A%and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
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13-T-e_E ot5r 1 Y
1.4 043prtived:.PlanningPetit.Tintiers .Date
VPKV:. • • PlanningMgt.'initials Date
(ifNeighborhood Notifiscatio aired-.SeePP-107):'
fine %Dept,liljtiais Date 0.g
..-pubiicWouksDer4;.Date
'•lwtjais.Date
Pink Goldenrod
(Appl icant ) (Code Enforcement)
GAforms \ping \TempAct_Permit
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FORUFFICIALUSEONLY
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Brisd Rtntlited::No #
Distribution: White Yellow
(Planning) (Fire)
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
CASH RECEIPT
CITYOF HUNTINGTONBEACH
P.O.BOX711
HUNTINGTONBEACH,CALIFORNIA92648-0711
www.huntingtonbeachca.gov/payments
DATE /1-.47;"'IL f Issuing Dept.f7 vi ki
Dept. Phone#(7IL 1),-;3(,/-2,6 o
FUNDSRECEIVEDFROM II ),(-c.„(ldcrvo I Iv
ADDRESS *7 .fa 07 dt IC St • /
11oI o5 Phone#:,,
FOR :',. 't ir-leV - (, tri i," I 1
•(7 1(722'413 fit /-fie0 --7-'' c
AMOUNTRECEIVED 0 Cash INweheck#<0 Credit Card $ -7
Prepared'./.Received Finance
B 4 %B .,- ,,k....A royal
IF OBJECT= 50000THRU90000, FINANCEAPPROVALREQUIRED Approval Date
BusinessUnit Ob'ect Subs Sub-Ledger IType
100 t-0 k1)0 ..
TOTAL $
StampedValidation Only
Pleasedo not write in the box below
tieJogoa
OU 9/..t
tridp3z6 JagnEs.a f4(;)
Lt. 6OCITI.t.I.Oi.:000
triJd ptoigiu,
No.1281138
ISSUING DEPARTMENT COPY
't
HUNTINGTON BEACH
CASH BOND RECEIPT
CITY OF hUNTINgTON 13EACh
P.O. BOX 711
HUNTINGTON BEACH, CALIFORNIA 92648
(714) 536-5200
CITY TREASURER - SHARI L. FREIDENRICH
DATE
\I _do I -17 c . •
RECEIVEDFROM rc (1"..('-c :,T.,e,,,k4)(Ivia 1,/ (plc,,
ADDRESS ( Z °E . //1---*"1 ,. ,,6 Ive-,ki qa<C-'
,i
a(
ZIP,--t•-
Yd vee
co 6---1
AMOUNT RECEIVED fl
CASHi"rWr
-HECK # /02 $ C500
RECEIVEDBY
CASH BOND ACCT. 706.22090
DESCRIPTION PERMITNUMBER AMOUNT
BUILDING MODELS
BUILDING RELOCATION
SUBDIVISION SIGN
BOND —OTHER
Business Unit Object Sub-Account Amount
—jC)
4560 TOTAL$-
DATEPAID
CHECK NO.
BY
No.T24931 00•009t
91, 60Ct LmDOD
iNd OZIG/1.1.-
ISSUINGDEPARTMENTCOPY
-4.1
FOR
ti•
CITY OF HUNTINGTON BEACH DATE i f I(
DEPARTMENT OF
DEVELOPMENT SERVICES
CITY 0 HUNTINGTON BEACH
BOND AGREEMENT
NAME OF APPLICANT FILING BOND
ADDRESS horkp+,s+1-Drt
Vot '110.6 I
I CITY 04
ZIP CODE CV03-TELEPHONE ,Flo
BOND FOR:IT NUMBER CASH BOND URETY BOND
SWIM POOL (CASH OR CASHIER'S #
CHECK ONLY)
TEMP. DIRECTIONAL SIGNS
BLDG. MODELS
BLDG. RELOCATION
POLITICAL SIGNS
OTHER c-tw-ifs-avvvAsTizaLer
IN COMPLIANCE WITH APPLICABLE CONDITIONS OF THE'HUNTINGTON BEACH
ORDINANCE CODE.SECTION 2Q cb(p
JOB LOCATION cl's,Cap &AR._F
NEAREST CROSS STREET 6,/ve E1_0 4 friAr2-1:>
DISTANCE AND DIRECTION FROM NEAREST CROSS STREET H
LEGAL DESCRIPTION
(ATTACH PAGE IF NECESSARY)
SIGNATURE OF LAND OWNER OR AGENT----e.e /24 ,-0,4 Cs,.
ADDRESS 4•I 04-0,74 v (P.CITY 1f4 w 4
NOTE:TERMINATIONOF THIS BOND SHALL BE AFTER FINAL INSPECTION AND
COMPLIANCE OF APPLICABLE ORDINANCE CODES OF THE CITY OF HUNTINGTON BEACH.
******************************************************************************************
COMPLETION VERIFIED BY DATE
BOND RELEASE RECOMMENDED BY DATE
PUBLIC WORKS DEPARTMENT RELEASE BY DATE
(IF APPLICABLE).
WHITE: TREAS.
YELLOW: CUSTOMER
PINK:DEPT.
G:BUILD1NG:FORMS:COUNTER:BOND2
1/9/97