HomeMy WebLinkAboutTemporary Activity 20150032 - PageTAP No. 15--
Application for Temporary Activity Permit
22.6 ,..)GeLocation of Property/Address/Assessor's Parcel Number (APN):
Ott-//2--
Si ture f p ticant SignatureofProperty Owner Date
.1--A.t 'AOrt "12..ietuti221.4.4.c-LaTYTH.C iTt('ore:-
,...5.11A-s.
FOR OFFICIAL USE ONLY
Fee 14,1 Receipt# *0-0.277
BondRequired:NO YES #
Approved:PlanningDept.Initials-0- Date 1
PlanningMgr. Initials Date
(IfNeighborhoodNotificationisrequired-SeePP-107) ,
Fire Dept. Initials - Date '6/ 2-6/1",
PublicWorksDept.Initials PS Date la I I 13—
PoliceDept. Initials Date
Distribution:White Yellow
(Planning) (Fire)G:\forms\pIng\TernpAct_Permit
Pink Goldenrod
(Applicant) (CodeEnforcement)
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: (mm/dd/yyyy) DIA a /2-0I .5 End Date of Activity: (mm/dd/yyyy) 0.1 0‘i Zal
Description of Activity:-It&
A VIL.co tc.P.
Property Owner(PleasePrint)
3 141
ilingAddress
Lan_ oft 9-2--M
State , Zip City
L16 inIS ' t'14/\4 7- 7ta
E-mailAddress TelephoneNumber
5 11
Mail' igAddress4.1.7„An
-1-1Lt-y_FrIA
-1 t4 kyet2-5 04City
TelephoneNumber
Applicantar AuthorizedAgent(PleaseP t)
104/
State Zip
E-mailAddress
ea nd understand the eq irementsof this permitI h
Please provide a diagram in this space, showing location of activity, djrecticnal arrow showing north, streets
and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
Business Name:
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
PlanningDepartment
(714)536-5271
TAP No.
Applicationfor TemporaryActivity Permit
Shall not exceed 96 consecutive hours (except agricultural sales)
Must display a copy of this permit on preniises 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 DateofActivity:(mm/dd/yyyy) 0T
AS 24 EndDateofActivity:(mm/dd/yyyy)O bq tbl 4r.
DescriptionofActivity:S Pa'SAW-e.S SrA
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
LocationofProperty/Address/Assessor'sParcel Number(APN): cc/2 Z.6 DI'h/46/L,A
API%)S - 112. —2:1
BusinessName: la,41 I
pos
L), -
piAits,44
Property Owner (Please Print)
3333 061.4 1-4
MailingAddress
244 '1(60 4.61 6-Mick
Applicantor AuthorizedAgent(Please Print)15gi syr,,,,,-„kas...1_
c-f--
MailingAddress
*1+-14A-411 .4/1A
cox?.
/
Zip
VILLAc
PARk
City I State Zip City State
-1 i4t4 2-5(44 e 'Also .647-vv‘-‘,6_9.0.71c2.
TelephoneNumber E-mailAddress TelephoneNumber
I hafe-readand understand the req irements of this permit
/1 A/7,464e>
Si nfitureof Applicant Date SignatureofProperty Owner
gt/
E-mailAddress
5/11/-r
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.
„,.k...)114. C ‘1.'a,-17:-t•er;ØI LA01.4 c:t treZto.A.C-JT
'40 V- re: •rt.v—
'Ts —
1.r--
FOR OFFICIAL USE ONLY
-' Fee 12- I Receipt#
BondRequired:NO YES #
Distribution: White Yellow
(Planning) (Fire)
Approved:PlanningDept.Initials--1C, Date ti 17
PlanningMgr. Initials Date
(If Neighborhood Notification is required —See PP-107)
Fire Dept. Initial_DateAt.).,..?he*
PublicWorksDept.Initials 1)5 Date It rrtis-
PoliceDept. Initials Date
Pink Goldenrod
(Applicant) (CodeEnforcement)
GAforms\ping\TempAct_Permit
TAP No.
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•
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)12.I s End Date of Activity: (mm/dd/yyyy)CA1 --Z
Descriptiion of Activity:Ci..•CF t4 S rAt4.02,
Location of Property/Address/Assessor's Parcel Number (APN):
MPA) Orc-
Business Name: Vi I-
Pr-444 AI rktA v 4-vr
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
Z
•
Applicant or Authorized Agent (PleasePrint)Property Owner (PleasePrint)t,H 7333 06‘,..
Mailing Address
4 Mailing Address
rik I'. t-t ( f- 1 .1 1-..1,-'4 , , -444.t.-sii.r ' •/tai a -
.State ZipCityStateZipCity
C.144 .r:c F.it Q .1 ti1\- c?'"0",,Sz.n•7/rL
Telephone Number E-mail Address Telephone Number E-mail Address
I havereadandunderstandtherequirementsofthispermit
1.41,04'°
Signature of Appillicant Date
*• •.,1
Signature of Property Owner
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.
AFOR OFFICIAL USE ONLI", .
Fee Receipt #
Bond Required: NO YES ft':
Distribution: White Yellow
(Planning) (Fire)
Approved: Planning Dept. Initial Date i
Planning Mgr. -Initials Date
(IfNeighborhoodNotificationis'required-.SeePP-107)
Fire Dept . IMtialgt:,, Date.-
Public Works Dept Initiag *tie)' Date -4t4-II I r
Police Dept.' Initials ' Date
Pink Goldenrod
(Applicant) (CodeEnforcement)
G:\forms\ping\TempAct_Perrnit
INSPECTION DATE6/30 TNT
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ADDRESS 5922 EDINGERAVENUE
INTERSECTION SWC OF EDINGER & SPRINGDALE
THOMAS GUIDE — COUNTY OC PAGE
SPECIAL INSTRUCTIONS LOOK
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