HomeMy WebLinkAboutTemporary Activity 20150014 - PageTAP No.
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 Activity:(mrn/dd/yyyy)—/End Date of Activity:(mm/cld/yyyy)
Description of Activity:tie_ d a-ax -v_tn I o`r Es-rP,T'E. Ftk-E "ViCIACOser
t-191 R n 41 •et a•cb /hecsr-vvtern 4C WIOlt a(!e c_.3
Location of Property/Address/Assessor's Parcel Number (APN): /(PS L.- 0 fi u.1
CAA .262 Lt d.t)rn e-y-0 a.VQ-Y1 rst-ScLo
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Business Name: 11.
cLo Lk*"
App kant or Authorized Agent (Please Print)
60 Go LI,ri-rn s rale
o L(azio-riL 162'4 AL o Pi,
a.L D .
Property Owner (Please Pnnt)
/68497 AL orz LL rl
Mailing Address
City
-31
Telephone Number
Mailing Address
vl
State Zip City
SOCAI (-477t-/4-Va_6 1/6
E-mail Address Telephone Number
State Zip
Ta-fir:K/daa-U-n I CD"
-mail Address
I have read and understand the requirements of this permit
14 I
Signa ure of Applicant Date Signatur Pro 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.
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FOR OFFICIAL ysE ONLY
Fee 44 ° _Receipt#
33301 S3T)
Bond Required:NO->e YES_ #
Approved: Planning Dept. Initials Date (-+3 I.
Planning Mgr. Initials Date
(If Neighborhood Notification is required - SeePP-107)
Fire Dept.Initials 1-P6 DateL t(7115.-
Public Works Dept.Initials Date
Police Dept. Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicani) (Code Enforcement)
GAforms\pIng\TempAct_Permit