HomeMy WebLinkAboutTemporary Activity 20150023 - PageTAP No. fC -0/-3
Application.for Temporary Activity 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 belqw for activity duration only)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Date of Activity:(mmidd/yyyy)Z b I<End Date of Activity:(min/dd/yyyy) C 7 04 .1
Description of Activity:s
Location of Property/Address/Assessor's Parcel Number (APN):AN 44 Irt-S7/-/
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9i /411.4141-A AVG .
Sd syft Business Name:
al Applicant or Authorized Agent (Ple e Print)
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Mailing Address
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Property Owner (Please Print)
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Mailing Address
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State Zip ,City
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Telepho e Number E-ma Addre
I have re (Valid unde nd the requirements of this permit
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State Zip
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Telephone Number E-mail Address
eN Sig ure f p 'cant ate Signature of Property 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
(Pianning) (Fire)
Approved: Planning Dept. Initialc3C Date ,
Planning Mgr. Initials Date
(IfNeighborhood Notification is required —See PP-107)
—Fire Dept. Initials • Date 512e PS–
I —Public Works Dept. Initials D5 Date 611 I 15
Police Dept. Initials Date
PMk Goldenrod
(Applicant) (Code Enforcement)
GAforms\pIng\TempAct_Permit
TAP No.
Application for Temporary Activity 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)
StartDateofActivity:(mm/dd/yyyy) ii Z b /EndDateofActivity:(mm/dd/yyyy)7 Z.O/ 0+—
DescriptionofActivity: S att nr A/1r•-•P-4 c i "'TAX' wc,4
LocationofProperty/Address/Assessor'sParcelNumber(APN): $1 I A11ANkrArAVG.
AP-NI I S7/
BusinessName:. L6I SO1 ft n SCiatI (142f-and sdnoi,D
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Applicant or Authorized Agent (PI e Print)Property Owner (Please Print)
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CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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Mailing Address
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Telephae Number
Mailing Address
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State Zip City
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E-mail Addre
Pireh A '9D-0-1 c.A 2.-no
State Zip
Telephone Number E-mail Address
I have read 'andunderstand the requirementsof this permit
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Sigiiafure of Date Signature of Property 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 I Receipt # •
Bond Required: NO YES #
Approved: Planning Dept. Initial;-)C.: Date (C
Planning Mgr. Initials Date
(If Neighborhood Notification is required - See PP-,l07)
r – Fire Dept. Initials Date /40
— •Public Works Dept.Initials Date rn
Police Dept. Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
GAforms\ping\TempAct_Permit
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CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
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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:(mm/dd/yyyy)n-d„
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Location of Property/Address/Assessor's Parcel Number (APN):
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Bond Required: NO YES #
Distribution: White Yellow
(Planning)(Fire)Pink Goldenrod
(Applicant)(CodeEnforcement)G:\forms\ping\TempAct_Permit
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INSPECTION DATE6/30 TNT
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INTERSECTION NWC OF ATLANTA& MAGNOLIA
THOMAS GUIDE — COUNTY OC PAGE
SPECIAL INSTRUCTIONS
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