HomeMy WebLinkAboutTemporary Activity 20150010 - Page02,TAP No.10
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 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
Start Date of Activity:(mm/dd/yyyy)End Date of Activity:(mm/dd/yyyy)
Description of Activity•
-r u._ -//e)
Location of Property/Address/Assessor's Parcel Number (APN):
Bu in ss Name:
Applic nt or Authorized Agent (Please Print)
a ling ddress Mai ing Ad
‘ 0 ii'e-- 'WA--Crl—"9-
,,ity State Zip City-----} 'ekihr-
Telephone Number E-mail A dres.Telephone Number
.470
'Yll/C-
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State Zip
E-mail Address
Property wner (Please Print)
i
I h ye ead and u derstand the requirements of.th.i ermit
ro ce..4 Owit
ig re of Applicant Da ' nature of ro erty Owner Date
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.
FOR OFFICIAL USE ONLY
Fee Z.Receipt #Ia/5-
.BondRequired: NO YES #
Approved. Planning Dept. Initials Date 3-5-1•-1_
Planning Mgr. Initials Date
(If Neighborhood Notification iQqred - See PP-107)
5 Fire Dept. Initials Date 3- 3-0104.5
Public Works Dept.Initials Date
Police Dept. Initials Date
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
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TAP
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Applicationi.forTemporaryActivity Permit
Shall not exceed 96 consecutive hours (except agricultural sles)
Must display a copy of this permit on premises of activity location
A maxirhum 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)1 0 End Date of Activity: (mm/dd/yyyy)/
Description of Activity: fi 1,2e"-A4.7"Al(mek/
Lk,is ofv --ectvg-0,t!Crece-T
LocationofProperty/Address/Assessor'sParcel Number APN):e di -e
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
ity State Zip
7/72-6-
/ E-mailAddresr10TelephoneNumber
-
Business Name:
CAAA Kk 1-4
Applicaltntor AuthorizedAgent(PleasePrint)
(.0 vt'Ael
.144i
IN/!aIlirigAddress
are cot--
IProperty Owner(PleasePrint)
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MailingAddrar
iLl
City
/ etwn•- -
TelephoneNumber
,Nt
ex_-#1-vc
CA-
.924'
State Zip •
E-mailAddress
have fead and understand the requirements of this ermit
I Praiae i-t
O
b
i /Z
ignItfireofApplicant WO ititature ofPTh erty Owner /Date
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.
//kt
it4 k/0-(
6*
/
:ApPrOved:Planning‘:tjaqe ,
.
:7Planning Mgr. :Initials:-
.Date-
Neigliborfidodthotifi4tionisffe,qutied-1.:See'PP-107)
5'Fire Dept Initials Aiia Date -
Public Works Dept:Initials Date
Police bept.. Initials', Date.
,FOR'OFFICIALUSE ONLY
Fee 2CS ' •.12eceilit#
ondAequired: NO YES
Distribution: White; Yellow
" (Planning) (Fire)
Pink Goldenrod
(Applicant) (CodeEnforcement)
G:\forms\ping\TempAct_Permit
02 TAP No. '10
A 6)
Application.for TemporaryActivity Permit
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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:(mmiddiyyyy)_0 Endpate of Activity: (mnvdcuyyyy)1.0 —0 /
Description of Activity: fi 2 7
Location of Property/Address/Assessor's Parcel Number APN):
2-6
Business Name:LA cl 41"1 eGt11
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ectS c`e Cred..; GE
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cApplicant or Authorized Agent (Please Print)Property wiler (Please Print)
Mailing Address
V./.4 COA CA
City State Zip
7/k/eiVe /r"
Telephone Number / E-mail Address
Mailing Add 6"7"
City
/
Telephone Number
,fq it_ -fl-ve
CA
State Zip
rr-e
E-mail Address
I have tead and understand the requirements of this,permit
1/1(2,u:k_/)Prop? gill OHNck
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Sign'atilre of Applicant Datb--"••••Sirnature of Pio erty Owner Date
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layoutof site and temporary event fixtures.
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FOR OFFICIAL USE ONLY
Fee Receipt #
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
Approved: Planning Dept. Initials - Date
Planning Mgr. Initials Date
(If Neighborhood Notification is required -See PP-107)
5 Fire Dept. Initials P,/,/i Date S
Public Works Dept.Initials Date
Police Dept. Initials Date
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms \ping\TempAct_Pernnit