HomeMy WebLinkAboutTemporary Activity 20150003 - Page• 022tv
Application for Temporary Activity Permit
TAP No.170
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 duratio onl )
Start Date of Activity:(mm/dd/yyyy)0 //3/2-0/5
Description of Activity: /1-1
09- rod or
Cfr 90160
Busin ss Name:
Applicant or Authorized Agent (Please Print)
c/Mayal
Mailing.;d1r43,14Axiskr.
Ci tate
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Property Owner (Please Print)
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Mailing Address
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City State Zip
iidovc Afaii/Gaz_s 0/.6h47
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
End Date of Activity:(rnm/dd/yyyy)0 /3/ 9-0/5
tAi
Location of Property/Address/Assessor's Parcel Number (APN):
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Tele hone Number E- a ess cTelephone Number E-mail Address
Plak5—
igna re of Applicant
read and derstand t e req ire nts of this permit
/rd-
Date YSignature Property ner Date
Please provide a diagram in this space, showing location of activity directional .now showing north, streets
nd/or landmarks, i.e. structur , and laymt_of_sixe—and orary e nt fixtures.
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FOR OFFICIAL USE ONLY 2-3 161,I
Fee Receipt#—
BondRequired:NO YES #
I. "As wrIno-3
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Approved:PlanningDept.Initials Date •
PlanningMgr. Initials Date
(I isf Neighborhood Notificatio I required —See PP-107)
--Fire Dept. Initials Datet'Isl."'PublicWorksDept.Initials Yr Date
PoliceDept. Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
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Application.for TemporaryActivity Permit
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
DescriptionofActivity:'2-1
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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 duratio
Start DateofActivity:(mm/dd/yyyy)01/1 2.01 5 End DateofActivity:(mm/dd/yyyy)
(200 ‘L SI •
onl
)
0/3/2-6/5
LocationofProperty/Address/Assessor'sParcel Number(APN):.orod1Z-Mir57-
C-tt &id.U474(0
BusinessName: /11 OW..ey rho-11a (tot co 4,4,4 nAP/ &he "C"
Applicantor AuthorizedAgent(PleasePrint)Property Owner(PleasePrint)/
e ha k4 #2./400X Itit4fr-
MailingAddress MailingAddress
C/WnSkr ‘n q(Pe.3 111•6i/7A, rich-4115 ,
Cir-14)7 /7L/69-70 /efilAkepi city7/der/C )1Z1//47e.g pz.
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— TelephoneNumber E-Mailtddtess OniTelephone Number E-mailAddress
I hadread and Ainderstandthe requirements of this permit
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iignattiireofApplk
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ant Date /s)cignatur f Peo ropert
0-1 1)1T11
yuwner Date
Pjease provide a diagram in this space, showing location of activity. directional
knd/orlandmarkszi.e..structur&andJayoutlof-site-andlernporary e nt fixtures.
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FOR OFFICIAL USE ONLY
Fee Receipt #
Bond Required: NO YES #
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Approved: Planning Dept. Initials 1fl Date
Planning Mgr. Initials Date
ctil (IfNeighborhoodNotification.is.required— P134,1,97)
••-•Fire Dept. Initials frri; Date
Public Works Dept. Initials 49.1" Date I"
'
Police Dept. Initials Date
Distribution: White Yellow Pink Goldenrod ,
(Planning) (Fire)(Applicant) (CodeEnforcement)
GAforms\ping\TempAct_Permit
TAP
N
o
.
Application.for TemporaryActivity Permit
Shall not exceed 96 consecutive hours (except agricultural sales)
HUNTINGTONBEACH
2000MainStreet
CITYOF • 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 immediateHuntingtonBeach,CA92648
issuance of a citationPlanningDepartment
Permitted:outdoor display of goods (banners, pennants, streamers, and flags are(714)536-5271
allowed as depicted on the diagram below for activity duration only)
Start DateofActivity:(dd/yyyy)4-1 if 411 2 6/End DateofActivity:(mm/cld/yyyy)411/51//
DescriptionofActivity:1;02. b(,(-70Vilk*51
v t,L,eic,/k
‘)P5r4i v/4_I ive-sLocationofProperty/Address/Assessor'sParcel Number(APN):
1.5 (.4-,/
AlVnit,71 71'1147\
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Property Owner(PleasePrint) /
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MailingAddress
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State Zip City State Zip
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I have read and understand the requirements of this permit
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Nc•Signare ofApPlicant Date ''Signature ofProperty Owner Date
Pleasp./provide a diagram in this space, showing location of activity,,adirectionalarrow showing north, streets
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and/or landmarks, i.e. structures, andJayout of site and.AenlioTa-ryelTentfixAires.'''
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BusinessName:L.,./...y/
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Applicantor AuthorizedAgent(PleasePrint)
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Mailing Address "
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TelephoneNumber E-mailAddress
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I Approved:PlanningDept.Initials ilt) Date 1'7 15
PlanningMgr. Initials Date
col (IfNeishborhoodNotificationisrequired—SeePP-107)
Fire Dept. Initials,ro.fri-Date -
PublicWorksDept.Initials -LP-Date II
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'
)
PoliceDept.Initials Date
FOR OFFICIAL USE ONLY
Fee Receipt#
BondRequired:NO YES #
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (CodeEnforcement)
G:\forms\pIng\TempAct_Permit