HomeMy WebLinkAboutTemporary Activity 20150034 - PageTAP 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 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)1- 61 sou-End Date of Activity:(mmiddiyyyy)6 6
Description of Activity:
Location of Property/Address/Assessor's Parcel Number (APN):V
usiness Name:
Applicant o Authorized Agent (Please Print)Property Owner (PleasePrint)
2-
Mailing Address
C 2(14
Mailing Address a2.to-I
City State Zip City State Zipaswre.tom LI-LIP?).
Telephone Number &ma Address Telephone Number E-mail Address
I ha ea and u d s nd the requirements of this permit
Ign ture of Applicant 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 layout of site and temporary event fixtures.
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CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Approved: Planning Dept. Initials ' ,Date
Planning Mgr. Initials Date
(If Neighborhood Notification is required —SeePP 107)
Fire Dept. Initials .-gS, Date Co
Public Works Dept. Initials b5 Date
Police Dept. Initials Date
FOR OFFICIAL USE ONLY
-::Fee Receipt #941 7cC,
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\fomis\pIng\TempAct_Permit
TAP No.
C-3
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.ofthe requirements'lisled O'nthis permit is subject to immediate
issuance of a citation
Permitted: outdoor display of goods (banners, pennants, streamers, and flags are
allowed as de icted on the diagram below for activity duration only)
StartDateofActivity:(mrn/dd/yyyy)6%.7131c EndDateofXctivity:(---trildd/yyyy)64 tLl
DescriptionofActivity:c.X ti I
LocationofProperty/Address/Assessor'sParcelNumber(APN): 11(1 I Lk(VI 1:: 1\i
BusinessName:ItikritIN 1\y,taon 4).si okkAlLi am&el&
'ASVO tfn vu
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Applicantor AuthorizedAgent(PleasePrint)Property Owner(Please Print)
j k AVk Re 12)
MailingAddress
\\N ?)phC '12VU r
kI:61V
Mailing.Address
City State Zip City J State Zip
,IL 4."9-12.2.2c 01614 *AM '1,14 qa•3a
TelephoneNumber E-mailAddress TelephoneNumber E-mailAddress
I hat,riet and u de s nd the requirements of this permit
SignatureofApplicant 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 layout of site and temporary event fixtures.
.L L4I}—,(-c_:,..0,_,(04$44S"
fst-1O C-.Ty dr-4
;FOR OFFICIAL USE ONLY
Fee T Receipt #
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)
Approved: Planning Dept. Initials q'i.bate '
Planning Mgr. Initials Date
(If Neighborhood Notification is required —See PPi107)
Fire Dept. Initials Date Cr nr7-/1
Public Works Dept. Initials ; Date f.,)
Police Dept. Initials Date
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\pIng\TempAct_Permit
TAP No.
AppliCationfor TemporaryActivity Permit
Shall not exceed 96 consecutive hours (except agricultural sales)
Must display a copy of this permit ori premises of activity focation
A maximum of four events/activities each calendar year are allowed
Violation of ark,9f the requirementsiistedS 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)I End Date of Yretiiityrrmm/ddiyyyy) 1. (A 1Ir
Description of Activity: (1,Vi\t it'- AV% c,
Location of Property/Address/Assessor's Parcel Number (APN) 4 hi).1.1(bh/tri
n.
Addres
Signtture of Applicant Date Signature of Property Owner
Pink
(Applicant)
DistribMion: -White Yellow
(Planning)(Fire)
Goldenrod
(CodeEnforcement)
12ti
State Zip
CVaCtilitt
E-mail/Address
G:\fornis\pIng\TempAct.:Permit
Please provide a diagram in this space, showing location of activity, directional artow showing north, streets
and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
tzal
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,
4.77.tat,
ApprOved:Plannin&DeptInitials Mate
Planning Mgr. InitialS Date,:
' '(IfNeighborhoodNotifica'titinisreqUiredSeePP:-,107),
Fire Dept. Initials - Date'.(s
Public Works DdPt.Initials b.5 Date 443 fI5- ,
Police Dept. Initials Date
'FOR OFFICIAt uskoSTLY
Fee 7957,Receipt.#
' .BondRequired: NO YES
usiness Name:kttntiNttr, Vaal 0\v/iv \ wo,1how\&Al&C
Applicant or/AuthorizedAgent(PleasePrint)
MailingAddi:ess
Vtok-h -N.
City ‘`,y,
fAift /31-4-2 r
Tet‘phone Number
Property Owner '(PleasePrint)
fi f
Mailing Address
441.(1,tNtitit\l/
City
Lite mt.(tro (2,41
TelephoneNuniber
I haVe,tead and understand the requirements of this permit
CITYOF '
' HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648'
Planning Department
(714) 536-5271
Finance Department
Receipt
Ashley Penner
June 22, 2015
Receipt Number 341780
Cashier
18761 Hoyt Circle #2
Batch #20150622100PC2949
Huntington Beach CA 92646
Dept. of Issuance Planning Department Amount Paid $285.00
Permit / License #2015-0034 Payment Method Check
Amount Outstanding $0.00
Fee Amount Paid
Automation Fee $11.00
Temp Sales/Event Permit $274.00
70515B 561299 5/13/15 285.00 285.00
5/15/15 CITY OF HUNTINGTO 285.00 285.001p*
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First NationalBank of PA
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ReviewPermitsStatus Online:
www.huntingtonbeachca.gov/permitonlilne
Questions?
Business License: (714) 536-5267
Planning & Building: (714) 536-5241
Big Bear of California - S.California .VENDOR it: • 2 9 918 0 371819
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