HomeMy WebLinkAboutTemporary Activity 20150035 - Page02 TAP No.
Application.for TemporaryActivity Permit •
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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)
014 /0 rStart DateofActivity:(mm/d /yyyy)b i 2-0 End DateofActivity:(mm/dd/yyyy)
DescriptionofActivity:f
LocationofProperty/Address/Assessor'sParcel Number(APN):
BusinessName;0 SS-
2
State Zip
Applicant or Authorized Agent (Please Print)
Mailing Address
N
City -0
Telephone Number E-mail Address
114(i
Property Owner (Please Print)
k
Mailing Address
TN/
City State Zip
2
Telephone Number E-mail Address
I have read and und rstand the requhements of this permit
020/5
Signature of Applicant Date Sigripture 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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FOR OFFICIAL USE ONLY
Fee ' ikeS—Receipt #•A'111
Bond Required: NO YES #
Approved: Planning Dept. Initials Dãte
Planning Mgr. Initials Date
(If Neighborhood Notificationrequired —See PP- 07)
Fire Dept. Initials -IC'S Date &Ii
Public Works Dept. :nitials •PS Date
Police Dept. Initials Date
Distribution:White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
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•
TAP No.
Application.for TemporaryActivity Permit
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Shall not exceed 96 consecutive hours (except agricultural sales)
Must 'displaya 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 t.lbjectto 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,dui'ationonly)
Start Date of Activity:(mm/dd/yyyy)6t 2-0N-End Date of Activity:(mm/dd/yyyY)611 OH nic"--,
Description of Activity:I t
Location of Property/Address/Assessor's Parcel, Number (APN):
Business Name: V TO CC
_/
Applicantor Atith-oiizedAgeni(Plese-Pritif)
45,
• City••-.••••State Zip
9-24.
State Zip
e
Property Owner (Please Print)
A 1)
MalangAddress
City
qi •
•2
Telephone-Number E-mailAddress , TelephoneNumber
I have read and understand the requirement§of this permit
E-mailAddress
.t
Date
ono A .219/5
SignatureofAPplicant - Date SignatureofProperty 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.
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re.•
s,
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- FOR OFFICIAL USE ONLY
Fee Receipt #
BondsRequired: NO YES #
Distribution: White Yellow
(Planning) (Fire)
Approved: Planning Dept. Initials C,L1e'Date 62112 1
Planning Mgr. Initials I Date
(If Neighborhood Notification is required - See PP-107)
Fire Dept. Initials Date eclif (1-›
Public Works Dept. Initials DS Date 6 13115
Police Dept. Initials Date
Pink Goldenrod
(Applicant) (Code Enforcement)
GAforms\ping\TempAct_Permit
'•, 7
Application.for TemporaryActivity Permit
ary OF
HUNTINGTONBEACH
2000 Main Street -
Huntington Beach, CA 92648
PlanningDepartment
'(714) 536-5271
allowed as depicted Onthe diagram below for activitST.duOtononly)
Start Date of Activity:(mm/cld/YYYY) 1)."1 INV' End Date of Activity:(rnm/dd/yyyy)1 1-1I
Description of Activity:r(AutAni.i.f,2_if‘irt!rovi
Location of Property/Address/Assessor's Parcel Number (APN):AL \AJtjtrtf
•
Shall not exceed 96 consecutive hours (except agricultural sales)
Must display a copy of ihis permit on premises of activity location
A maximum of four events/activities each calendar year are allowed:
Violation of anyof the requirements listed on tifis/0erniiiis subjeci'to immediate
issuance of a citation
Permitted:outdoor display of goods (banners, pennants, streamers, and flags,are
BusineSs Name: \I 0,&.1
A
Applicant or Authorized Agent (Please Print)
Mairing-Address
City
241)
State Zip
TeiephOne Number E-mail Address
Property Owne (Please Print)
IVGiling'Addre.ss
City
1'92 12V)-1,
_Telephone Number
r
I haN'leread and understand the requirements of this permit
Date Signature of Property Owner
Please iprovidea diagram in this space, shoWinglocatioh of activity, directional arrow
and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
.1z1V Lt.
44-12.ei
Signature of Applicant
?L't
showing north, street§
ko.,crIA41 47-,crt``454
L t.
„
/FOR OFFICIA4USEONL1'(-.
Fee it Receipt #.
Bond Required:iv-6'.—
Approved:,PlainiingDept: Inyials I)ktaie 11Z
Planning Mgr Initials Date r
(If Neighboihoo4-NOfifieationis required —See PP
-107)
Fire, DePt. :Initials Date 6.09; A-22i.;
Public WorkSDept.b nat66,1111c'
. • •
Police•Dept.:,.1Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) • (Code Enforcement)
G:\forms\ping\TempAct_Permit
Finance
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Receipt
COMMUNITYCHURCH/THENAZAR
POBOX1686
HUNTINGTONBEACH
C
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9
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June23,
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Receipt
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341787
Cashier
Batch
#
20150623000PC2949
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Planning Department Amount
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$285.00
Permit
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2015-0035 Payment
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$0.00
Fee Amount
P
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AutomationFee $11.00
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Big Bear of California - S.California
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371821
AMMILL::
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Online:
www.huntingtonbeachca.gov/permitonlilne
Questions?
Business
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