HomeMy WebLinkAboutTemporary Activity 20150017 - PageCITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
TAP No. W15 11
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
Permkted: outdoor display of goods (banners, pennants, streamers, and flags are
allowed a dep ted on the diagram below for activity duratio only)ii
15.— End Date of A -i ity: (dd/yyyy)/69 0 /1 6
Start Date of Activity:(mm/dd/ yyy)
Description of Activity:
1(\
Bujpess Name:i/VN 1
Loc tion of Property/A dr s/Assessor'arcel N mber (APN):
C1-1
App
-
• ant or AuthorizedAgent lease Pri t Property Owner (Please Print)
MaiitigAddress
Cit
TeephoneNu ber
Prti
solo
State Zip
/8-e-/
E-mailAddress
5 )
MailingAddress
ci
C'ty State Zip
TelephoneNumber E-mailAddress
I have r d an
Sig ture o Applicant
it5
te SignatureofProperty Owner Date
derstand the equireme As of t ermitc_
Please provide a di,gram 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.
ev..,c491I 3yNI 0 LA 7E1.
op—ies /26 W4-17 ,
FOROFFICIALUSEONLY
Fee tP7-81 Receipt #3 3 2-3
Bond Required: NO.X_YES #
Approved:PlanningDept.Initials 197— Date 14 Il IS
Planning Mgr Initials Date
(If Neignorhwd Notification is fequired —Seem' 071
—Fire Dept. Initials TOi2 Date
Public Works Dept.Initials Date
Police Dept. Initials Date
Distribution:White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
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CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
TAP No. WI 5-
Applicationfor 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
Permkted:outdoor display of goods (banners, pennants, streamers, and flags are
allowed a depi ted on the diagram below for activity duratio only)
c 1 5— End DateofA • ity: (
ft ddJyyyy)
e_/i 6),
Start DateofActivity:(mm/dd/ yyy)
DescriptionofActivity:
Loc tionofPro erty/A dr s/Assessor' arcelN mber (APN):
7.1 -e,* I1°)
Buj ess Name:
C
App ant or Authorized Agent lease Pri t
kC4-1-ff-L.Lff 74Stc-:pvv
Property Owner (Please Print)
5
Mai g Address
Cit Iq
Te ephone Nu er
M iling Aidress
State Zip C'ty State Zip
E-mail Address Telephone Number E-mail i ddress
fr5
7-
I have r d an derstand the e uireme ..tsof t ' ermit
cy .
te Signature of Property OwnerSig ture o Applicant 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.
cr
fr-L-irr c)‘7e—or —p L.—caI—,(7
(L(i LI _
,t)Tadv.k71-_
F-C7° —112-A4 CAC--
FOR OFFICIAL USE ONLY
Fee ill'7-P--)
Receipt #—
Bond Required: NO X YES #
Approved:PlanningDept.Initials [- Date •
PlannirgMgr Iljtials Date
(lfNejrhod Ntification is cequired -See,P,P-1107)
—Fire Dept. Initials 3-0 117 Date 4 1/illri
Public Works Dept. Initials Date
''..)ept Initials Date
I "5-
Distribution:White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\pIng\TempAct_Permit
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