HomeMy WebLinkAboutTemporary Activity 20150030 - Page1 - 030 TAP No.0
21,te
Application.for Temporary Activity Permit
Citfi"
Telephone Num er
2121
State Zip
E-mail Address
State Zip City
ZieLtioced,,to e byt14m...,Gi –'491
E-mail Address Telephone Number
/0194/e/hiffACOCi)VI I
Dat Signature of Property Owner DateSigof Ap cant
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 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 epicted on the diagram below for activity duration only)
Start Date of Activity:(mm/dd/yyyy).47 0/20/6—EndDa.of Activity:(mm/dd/yyyy)
Location of Property/Address/Assessor's Parcel Number (APN): IcI 3 A S
NI 1 - 9 I -64
7 e s-
Description of Activity:
4774A..r
Business Name:
Applicant or Authorized Agent (Please Print)
Mailing Address
. •
e-hl
Property Owner (Please Print)
1,0,J6 C.0
Mailing Address
I have ead understand the requirements of t is permit
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 temporaly event fixtures.
SMI-L crA C rry c:* IAS - Zc Jt.0 larekods.-70,--te-N-71S
fog--•*.tCZE ort-9.4-11:t.S
FOR OFFICIAL USE ONLY
Fee I Receipt #
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
3
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Approved: Planning Dept. Initials Ci Date 1c
Planning Mgr. Initials Date
(If Neighborhood Notification is required -See PP
-107)
Fire Dept. Initials 'er- Date5
Public Works Dept. Initials 9 Date
Police Dept. Initials Date
crryOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
-PlanningDepartment
(714)536-5271
r •.
TAP No. IC -030
Application for Temporary Activity Permit
Shall not eXceed96 consecutive hours (except agricultural sales)
Must display a copy of this permit on prerpisesof activitydocation
ó.A maximum of four eyenteactivities 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)4 7/06/gews—End Date of Activity:(mm/dd/yyyy)e/7 PS-
Description of Activity:E,Of>tedeS
Location of Property/Address/Assessor's Parcel Number (APN): I <1 A 51-
I have fead antI undersiand the requirements of this permit
,a6 et kri-Acit#C-D I 911
"SignkturenfAppRant Date'SignatureofProperty 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 layourasite'and temporarsT;evellt,fimures.
Business Name: "Li
LID
Applicantor AuthorizedAgent(Please Print)
SAg-n1 osnw .71-Azit LA. .t2.0
Property Owner (Please Print)
04- 11144.14 CTg D . sos-ee
MailingAddress MailingAddress
State Zip
s kic.2122..
City State Zip
/3351/2'
TIephone Num6er
zepilzk -4ce.„0 a e6vii4j—•Cam 449
E-mailAddress Teleph—oneNumber . E-mailA'ddresS
C cry c›C Pt5 - 2,;a6
virca.
7_-eq,..1‘cr.7-**•."tt7ts-fi
,
dikyog 'USE pNI.,Y.
.Fee --keceipt# XISZ(
k"BondRequired:1 10 YES - # '
ApProyed:PlanningDept:Initials if-')Date (.0Pi 1
PlanningMgr.::Initials .Date
(If Neighborhood Notification'is required See PP-107)i
Fire Dept., Initials Date.'it-Z.-9/1
PublidWork§Dept.Initials .1"S Date t; Iif
DPojiepJs Date
Distribution: White Yellow
(Planning) (Fire)
. Goldenrod
.(Applicant)-2 (Code Enforcement)
G:\forms\pIng\TempAct_Permit
ff•'.' -kW
A
TAP No. I
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)
Start Date of Activity:(mm/dd/yyyy)c)7 0/i/206—End Date of Activity:(mm/dd/yyyy).4 7 2.6/.5
Description of Activity:i Le-tYc J 77AJL.//
Location of Property/Address/Assessor's Parcel Number (APN): lq <I 3 A r&I s R.::-.
Business Name: ,J / -r)441:c C2-)-eef
Wit/xi ..)C./.514am ..v Po -wort. 78..A7
Applicantor AuthorizedAgent(Please Print)Property Owner (Please Print)
g9.0 4- (Nu.mit.;r-:":iit AC.
MailingAddress MailingAddress
•A --e-...e A-9 2 122.
Cit State Zip City State Zip
r -/4-; 1(4 G64 o e 6A+4/4.--cb-/ 9 -?(.1--WIi v
TelephoneNumfier E-mailAddress TelephoneNumber E-mailAddress
I have read andunderstand the requirementsof this permit r.
(<6.ekr flIcg C-9 IS"
Sigd Dateatureof Appicant SignatureofProperty 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.
rx4 Crr‘r 13t -s
q-cg- Viraz re.t(.e-.•ert
FOR OFFICIAL USE ONLY
Fee I_I Receipt #c
Bond Required: NO YES #
Approved: Planning Dept. Initials )(-' Date
Planning Mgr. Initials Date
(IfNeighborhood Notification is required - SeePP-107)
Fire Dept. Initials 1-?..5. Date .77/P-)it
Public Works Dept. Initials 9:.) Date
Police Dept. Initials Date
0
.
•
J
CITYoF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
col'fa I oil'
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
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