HomeMy WebLinkAboutTemporary Activity 20150018 - Pageo21 tie
TAP No.V)I "618
Application.for TempQraryActivity Permit
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P:nk Goldervpd
(Applicam) (CodeEr.M:cement)
Distribution: White
(Planning) (Fire)
Shall not exceed 96 consealt.i.-,ehours (except agricultural sales)
Must display a copy of this permit on premises of activity location
A maximum of four ever:,:s/activitieseach 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 oniy)
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Location of Property/Address/Assessor's Parcel Number (APN): 171
Appli a Authorized Agen lease Print)
Mailing dress
LA)I
.-:ty state
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Teephonc Number '1.:-InailAddress
Property Owner lease rint)
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I have read and undenstand the requirements of this permit
4 Date Signat.zra ,:!•Preperty Owaet.
vtE Alt
Dt•te
Please provide a diagram in this space, showing location of activIty,directional arrow showing north, streets
and/or landmarks, st!uctures, and-Lye:A-of 'te and temporaryevent fixtures.
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FORDFFICIAL USE ONLY
Receipt
_ ,ad Required: NC_L.YES #
Approved: P.ar.:Iing Dep. Initial _DF..te v.i _15-
Plcnig Mg. Iritial Date
',!'b'eighborhcod Nolilication equired —Se': 9P-' 07)
Den._ Initials _Date L (5
.... ?ublic Works Dept. Initials ,../, Date /5
Police Der. Iritials 4 Date
Business Name:
CITY OF
INTINGTON BEACH
2000 Main Street
t..,:tington Beach, CA 92648
Planning Department
(714) 536-5271
;tart Date of Activity:(mrn/dd/yyyy)• nd Date of Activity:dd/yyyy)
0203".r-ODescription of Activity:
Mqiling Addi esE
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V.Pdik1.7
City State Zip
4 -I 7 /V-1433 E-mail AddressT2lephone Number
Zip
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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
Planning Department
issuance of a citation'
(714) 536-5271 •Permitted:outdoor display of goods (banners, pennants, streamers, and flags are
allowed as depicted on the diagram below for activity duration only)
Otart Date;nfActivity:;(rintn/dd/yyyy)nd Dateof/A tivit • Yr yyy,
DescriptionofActivity:
CITY OF
0NTINGTON BEACH
2000 Main Street
ngton Beach, Ck92648
0/7/
LocationofProperty/Address/Assessor'sParcel Number(APN):I IVI
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MailingAVdress
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MailingAsids,s..,4./33 230
BusinessName:•ACZ V
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ApplicAnitderAuthorizedAgent,(PleasePrint)
State
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E-mail Address
e 0)-41
T61€phoneNumber
I have read and understand the requirements of this permit t
PA ye1_12
Signhtge—OVAPplicant -Ode
State Zip City .
E-mailAddress •TelephoneNumber
Pilkc
SignatureofProperty Owner
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks, Le. structures, andlayout-of...site and temporary event fixtures.
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nd Required: NO'
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FFICIAL USE ONLY
-Receipt #
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Appro red: lanning Dept. Initials — ate
16"D
Planning Mgr.,-Initials ,•'.-"V-1.-,Date
„.. (IfNeighborhoodNotificatiorfis'required7 See'.
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Fire. Dept Initia1sO —or Date fid,t
Public Works Dept.Initials , Date 4Y1 'dti
Police Dept:Initials Date
*stribution:White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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allowed as depicted
tart Date of Activity:(mm/dd/yyyy)A: r
Description of Activity:A fW '2/1-
on the diagram below for activity duration only)
—.EndDatejolActivity:m/d. yyycji
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Location of Property/Address/Assessor's Parcel Number (APN):
CE)c-Li Z)-4
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Propr OwDr nanfrint)
Mailinig A"dxs.q33 7-5u
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State ZipCity
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— Telephone Number E-mail Address
-It)/State Zip
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Telephone Number &mail Address
Date
I have read and understand the requirementsof this permit,
.,1 41.'11;1/4 1, y•••C,L)e E /1-cl+Eb
Sig-nhtuFeofiAriplicant Date Signature of Property Owner
/Dr C
F-71r
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
TAP No.
It
Applicationfor TemporaryActivity Permit
0
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
r")Business Name: :- f4 / //7-/
•
Applicarii.Ovkuthorized Agent (Please Print)
A
A
Mailing Address
72 r L.L)1g
•0
-
(:?4>a-.?
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks, i.e. structures, andlayout-of.site_andtemporary event fixtures.
-
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t Ar-r- 3 C It 4 IR
FOROFFICIAL USE ONLY,
, /e I Receipt # -
nd Required: I 10_4\L'ES #
nistribution: White Yellow
(Planning) (Fire)
CITY OF
' " INTINGTON BEACH
2000 Main Street
ri-aington Beach, CA 92648
Planning Department
(714) 536-5271
Approved: Planning Dept. Initials," Date
Planning Mgr. Initials Date
,.••• (If Neighborhood Notification is required -See PP;107)
Fire Dept. Initials'. A Date r(.11,IV(
Public Works Dept. Initials.• Date
Police Dept. Initials Date
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