HomeMy WebLinkAboutTemporary Activity 20150001 - PageAPNo. I-0 6-cof
Application.for 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/c1d/yy) / It / C rid Date of Activit : (mm/c1d/yyyy)
Description of Activity:
Location of Property/Address/Assessor' Parcel Number (APN):
C.
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
Business Nam :
Sc - •Qv'
Applicantor AuthorizedAgent(PleasePrint)Property Owner(PleasePrint)
01
MailingAddress MailingAddress
State Zip
TelephoneNumber E . ailAddress TelephoneNumber E-M71Address
State Zip Ci y
I .-a,2.2-219
I havere d dunde tandtherequirementsofthis
SignatureofApplicant Date
--1S-‘,
mit
/
wner 1 Date
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or lan i.e. structures and la out of site and temporary event fixtures.
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FOR F ICIALUSEONLY Fee
Receipt #
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Bond Required: NO.XYES #
Approved: Plannifig Dept. Initials Date t
Planning Mgr. Initials Date
-•*/-0.1.3 '7
c:tik- (IfNeighborhoodNotificationisreauired—SeeP -1 7)
,Fire Dept. Initials Date 1
161% --••Public Works Dept. InitialsDate I
/j
5.
41:12e+ies-Llept.Initials Date
Distribution: White Yellow Pirk Goldenrod
(Planning) (Fire)(Applicant) (CodeEnforcement)
G:\forms\ping\TempAct_Permit
—*TAP No.1-0 15 001
Application.for 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 event's/activitieg 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)
CITYOF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
Start DateofActivity:(mm/dcl/yyyy)/ <End DateofActivity:(mm/dd/yyyy)/11
Descriptiona Activity: 1_.))7)4 14 / A v
LocationofProperty/Address/AssessorlsParcel Number(APN): ge) I tiWrit
•
(• c1:1 14 ,LI q
* BusinessName:e4i '04 •sok yv„aiNGI•-"A c›<,,,e-ti
Applicant OrAuihorized Agent (Please Print)Property Owner (Please Print)
3 33 2/J•/xa,yzeig4te6 F 3 ?ol wo 2,17 st,J-C
Mailing Address
be Mailing Address
i fr T 6467
VCity -State Zip City State Zip
14-.2.2.p.219 4 nix154a .mot111-71 - '43kb /1400064,eC -71)IA
Telephone Number Vniail Address Telephone Number E-niail Address e-i
r
-I have read and understand the requirements of this permit
\ Signature of Applicant Date XiiiiRiurc-of-PrOliErtS7 'Owner
t91-o91-/c//1
I•Date
Please firovide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/orjandmarksi_e_atruoures, andJayout of site and temporary event fixtures.0
got-41 (\Dv\
)Olc-c Ve
FOROFFWIALUSEONLY (2..n‹opfri I
Fee 1101 •Receipt#I
BondRequired:NOXYES #
Approved:PlanningDept.Initials Date 1'1
PlanningMgr. Initials Date
(If Neighborhood Notification is required -See Rp-Iirl
-• Fire Dept. Initials 0'5 Date WW1
1.5i• PublicWorksDept.Initials•"1--.47—".1 7"'DateI/9 /
*oPolice_Dept._Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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'`il.pplicationfor 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 if I'%End Date of Activity:(mm/dd/yyyy)f
1
Description OfActivity:'
Location of Property/Address/Assessor's Parcel Number (APN):ihd:fi 11-Ot—g
;
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Business Name: I ,./, ;a
\"t
Applicantor Authi;rizedAgent(Please Print)Property Owner (Please Print)
--
MailingAddress MailingAddress
City
it,
TelephoneNumber
)/1
State Zip
".41
E-mailAddress
City State Zip
/Ii
TelephoneNumber E-mailAddress
I have read and understand the requirementsof this permit
,
SignatureofApplicant
-
Date
61 -oc)t-
SignatureofProperty Owner 'hDate
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/orjandmarks,j.e.,sttucturps,,and,layout of site and temporary event fixtures.
'f ,4
•••• •••
4
La e rrt 4 OA'7Cf1 phl-okie?
, FOR OFFICIAL USE ONLY '
Fee 40r—A .Receipt
Bond Required: NO 4YES #
4141.1
Approved: Planning Dept. Initials r:IrJ Tiat
Planning Mgr. Initials '' Date
(If Neighborhood NOtificationis required See PP-107)
Fire Dept. Initials - Date
Public Works Dept:Initials 4Date #14-47./0- ,
..pPolice Dept.InitialS Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
GAforms\ping\TempAct_Permit