HomeMy WebLinkAboutTemporary Activity 20150012 - Page5 (4.9 U.-)1612AtY2/Location Property/Address/Assessor's Parcel Number (APN):
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Pink Goldemod
(Applicant) (Code Enforcement)
Distribution: White Yellow
(Planning) (Fire)
TAP No.15---ths-
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)
Start Date of Actinityl (irm/dd/yyyy)/9/t.5-End Date of Activity:(mm/dd/yyyy) 3/
Description of Activit7:at .156 ci Cotte_(20—eFLE-
Business Name: C.-R:riF ICDea_ke_c
Applicant:•rAuthorizedAgent(PleasePrint)
/9W."4.A_Ai g
MailingAddress
6
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TelephoneNumber
I have read a
SignatureofApplican Date
State Zip
SignaturedfProperty Owner
EsV...6774/.CA1A-
E-mailAddress
understand the requirements of this p mit
-
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.
Ausg flc-C
FOR OFFICIAL USE ONLY
Fee Sr I Receipt #VZ)1°
Bond Required: I 10___YES #
Approved: Planning Dept. Initials_
Planning Mgr. Initials
(I(NeighborhoodNotificatio
leFire Dept. Initials
.600rublicWorks Dept. Initials
Police Dept. Initials
_Date -61•t
Date
requiied - See PP-107)
Date 3
Date
Date
Co"
I
16
•
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Property Owne (PleasePr'.0
9 .07
State Zip
E-mailAddress
—5—AS
Date
TAP No.
C
_
Applicationfor TemporaryActivity Permit
e 3/01 e•Start Date of ActiVity:(mm/dd/yyyy)3/141 End Date of Activity:(mm/dd/yyyy)
Description of Activity:eiltz-ktaNLer SIN 156a.d att.(244-Pc 4..4"
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Bdach,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 amiof 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)
Location of Property/Address/Assessor'sRarcel Number (APN):
Business Naline:it-riri /CD -1--g0. /NC."
ti
Applicant or Authorized Agent (Please Print)
504./4?IA) N-4.44 Ai
50 (09 l,-)Af PrAA-ny, lt& /Pc*eydr-
Vteqi
Mailing Address
1.-L*4.ensiv4
City, ,
7? I /119
Telephone Number
C4,9e2.4,‘7
Stale Zip
tedti--fra.,07-40,
E-Mail Address'
ic>i-CS
Property OwneV(Please NA)
/i/4/‘
Mailing Address
City99-*JO Vot.5.
9g5d 7
,'Siate Zip
Telephone Number E-mail Address
I have read and understand the requirementsof this permit
- s (,4
Signature of Applicant Date Signatu"re o‘fProperty Owner Date
Please provide a diagram in this st)ace,showing location of activity, directional arrow showing north, streets
and/Orlandmarks, i.e. strubtures,and latyoutof siteand temporary event fixtures.
'Distribution: . White Yellow • Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
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Initials .
g .Notificaiion.dsrequired,-
i'na'Dept:••ba Date ,
PtiblicWorks Dept. Initials._
PireDept..ot.
Police Dept., Initials/ Date
5hi)raNY".
FOR OFFICIAL USE ONLYI
1,Fee .14t)Receipt #re-ci
13.ond Required: NO" .'reS
•
TAP
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Application.for TemporaryActivity Permit
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Location of Property/Address/Assessor's Parcel Number (APN):
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I have read and understand the requirementsof this permit
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DateSignature of Applican Date Signature Of Property Owner
S .A"‘
LAC°c.)Lvd.•
Pink Goldenrod
(Applicant)(Code Enforcement)
G:\forms\ping\TempAct_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)
End Date of Activity:(mm/dd/yyyy).3//..cStart Date of Activity:(mm/dd/yyyy)-g/sh.‘
Description of Activity: PA-Ltc..A Lo-r-Stor 66cx do ate ao-fr Lz
Business Naine: C C D Tig
eat c 5cti kice."
Applicant or Authorized Agent (Please Print)
)1)41,?tUR2 tv.A_C
Mailing Address
I- .•..4A 4 ilc litO
City State Zip
7/ (la '/ b /119 fitcec.,,z-frit_47-4.1.641^-
Telephone Number E-mail Address
i-eci+OA
,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 temporaryevent fixtures.
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914-4-C
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FOR OFFICIAL USE ONLY
Fee 11.-Receipt #
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
/
9c9ri
ess A--
Property Ownerr.(Please Print)
Mai, AddresseNsf (1 /
City State Zip95/-cia
Telephone Number E-mail Address
Approved: Planning Dept. Initials
Planning Mgr. Initials
,(If Neighborhood Notification
Fire Dept. Initials
Public Works Dept.Initials
Police Dept. Initials/
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