HomeMy WebLinkAboutTemporary Activity 20150033 - PageTAP No. 15-33
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)6 4- 0 20 End Date of Activity:(mm/dd/yyyy) Cfl 0 2_0
Description of Activity:
Location of Property/Address/Assessor's Parcel Number (APN):
Business Name:
Applicant or Authorized Agent (Please Print)Property Owner (Please P t)
Mailing Address
12.
Mailing Address
0
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
01
City State Zip City State Zip
s ITt-etLk •-rm
Telephone Number E-mail Address Telephone Number E-mail Address
I hay e d and ers n therequirementsofthispermit
ig at re of Ap ica t 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 layout of site and temporary event fixtures.
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FOROFFICIALUSEONLY
41="1Fee 9-gc Receipt# '244111
BondRequired:NO YES #
Approved:PlanningDept.Initials cr Date 74-
PlanningMgr. Initials Date
(If Neighborhood Notification required -See PP-07)
Fire Dept. Initials • Date
14z,
PublicWorksDept.Initials Date •(:)
Policepept._Initials Date_
Distribution:White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
GAforms\plr.g\TempAct_Permit
TAP No. 5-33
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/acti ities each calendar year are allowed
Violation ,any bf the requite ent 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)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
Start Date of Activity:(mm/dd/yyyy)6 "4 o -End Date of Activity:(mm/dd/yyyy)LI 2
Description of Activity:Cr '‘CV. 1 4'c
Location of Property/Address/Assessor's Parcel Number (APN):RfI
Business Name:ert v Ic VN_PO t
. .
L
Applicantor AuthorizedAgent(PleasePrint)Prope#r4t(plase Mit)
MailingAddress MailingAddress
al CA -0 -4-Cm,A
State Zip City
"I1._Or 6-'\in r ).( i
E-mailAddress 1 TelephoneNumber E-mailAddress
7-1I haveirerd andiunderstand_the requirements of this permitI
%7.-Pf/t \
Signanireof-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.
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V
City
61c I 2ok.612
TelephoneNumber
ev-11 "41-100
CPI
State Zip
SignatureofProperty Owner Date
40•
11.
f"--"IFOR OFFICIAL USE ONLY
Fee tko Receipt-#-1141 17
BondRequired:NO YES
Approved:PlanningDept.Initials–I) Date 691/1.--tic
PlanningMgr. Initials – l Date
(If Neighborhood Notification is required —See PP-107)
Fire Dept. Initials Date
PublicWorksDept.Initials PS Date 1431ir
PoliceDept, Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
e 1:••
TAP No. i
Application .for Tempowy Activity PermitI-
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/actiiviti5seach calendar year are allowed
Violation'arany of the requiremetitsilAtedon this permit is subject to immediate
issuance of a citation
Permitted: outdoor display Ofgoods (banners, pennants, streamers, and flags are
allowed as depicted on the diagram below for activity duration only)
Start Date of Activity: (mmicid/yyyy)End Date of Activity:(mnycldlyyyy)t 76kV Of iC
Description of Activity:r(‘((k
Location of Property/Address/Assessor's Parcel Number (APN):tkrti(...)\f,rt ( 1f i
Business Name:k_A*1.1 srt7••VriVb • •
1-tmAkIotiett
CITY OF
HUNTINGTONBEACH
. 2000 Main Street
Huntington Beath, CA 92648
Planning Department
(714) 536-5271
Applicantor AuthorizedAgent(Please Print)
MailingAddress
cV,
Property1:5„.wn4i(plelsePrint)
WI \eki iVc_04\3 g
MailingAddress
•
tylt -I •Ci 2k1.14--
City State Zip City
q'.2611.1.1 1 .6{\inkl(t.((iVi 41411 '121
Telepho,neNumber E-mailAddress TelephoneNumber
I havereadandunderstandtherequirementsofthispermit
f
SignafureofApplicant •Date SignatureofProperty Owner
Zip
C
State
E-mailAddress
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.
sAV\
f*)r .A. c el-7' 414,51.-34.1
'ISA( Lii TI4-7 CAt bs i t.,)AS.
•
Distribution:•White Yellow •Pink
(Planning) (Fire)(Applicant)
Apprdved: Planning Dept. Initials i‘)4Date 01.
-Planning Mgr. :InitialS Date
(If Neighborhood Notification isreCliiired-SeePP-,107)/4
..,Fire Dept. ° Initials Date'_6;0_, 't;•
PtibliCWbrks DePt.Initials PS Date:143ns.:
Police Dept:, Initials - Date
Goldenrod
(CodeEnforcement)G:\forms\ping\TempAct_Permit
. ,ilkFORQFFICIALUONIX
Fee gt.eepalt-
t, Bond Required:.,1\109.4