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CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
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Start Date of Activity:(mm/dd/yyyy)
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FOR OFFICIAL USE ONLY
Fee Receipt
#
"314-D6q8
Bond Required: NO YES #
Distribution: White Yellow Pink Goldenrod JOON
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G:\forms\pIng\TempAct_Permit
TAP No.15— 0
2. A
e 7I Lfr51 1S`IS sCuir iVCct
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 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)LS)\...2 1C End Date of Activity:(mm/dd/yyyy)LP\‘ . \—
Description of Activity: (.. C\c- (---.\1 3 (-4 0-"‘"--•2-e_k%%\ 1)?'-`.)r() No F-.Ja Q,
--(-et A-OM l.5,3r -• ',-".•=.‘a e ittNg-C-f L ..NI A
Location of Property/Address/Assessor's Parcel Number (APN):--/c2,V 7 e GS//V.e.-4.--.-1-re_,a ..41 / .'PI A
Business Name: -Ictr-t_\01Th -I' e/r-/ 4-7,/1 Pan / ..-..) L.-- ./ 4'''Stie!'Y j
e '''`--) .0 74- ._i .-4 _'ri' ri'ea)a.i 47---r1tei
Property Owner (Please Print)
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Mailing Address‘
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CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Applicant or Authorized Agent leasePrint)
t'C•?.-21 &_
Mailing Address
State Zip
keLeott//Neir aolceni
/•••City 'State Zip . City
Telephone Number E-mail Address Telephone Number E-mail Address
I have eadandunderstandthei.equirementsofthispermit,
SignatUre of Applicant ,Date /5-- Signature ofiroperty 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.
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F()ROFFICIALUSEONLY Approved: Planning Dept. Initials; • Date t
Planning Mgr. Initials Date
(If Neighborhood Notification.is required -SeePPi107).
Fire Dept. Initials -.1-Y1- Date "I'.15
Public Works Dept. Initials Date
Police Dept. Initials fit Date L--'11
Distribution: White Yellow /DAN V.Wbsvt.
G:\forms\ping\TempAct_Permit
Fee !I.Receipt #ic
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Bond Required: NO YES #
Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
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•TelephoneNumber
SignattireofApplicant •Date er-SignatureofProperty Owner
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TAP No.
I- >AO 11/C
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:outdoordisplayofgoods(banners,pennants,streamers,andflagsare
allowedasdepictedonthediagrambelowforactivitydurationonly)
PStartDateofActivity:(mm/dd/yyyy) - 2 EndDateofActivity:(mm/dd/yyyy)
'eDescriptionofActivity:
TN-1.0)'tnamt
LocationofProperty/Address/Assessor'sParcelNumber(APN):7
BusinessName: ';*.,et
.1`ee_lt
Applicantor AuthoiizedAgentT(PleasePrint)
MailingAddress
/
City.
it.ft!''cr -11(.4.JL /1 .
p?/
Property'Owner(Please Print)
ri;
MailingAddress
/tie ,e
1'4
I/1
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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.
7
x.411 tN•
t-1(X);?.
10 ..10sq. ci ,
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Approved:PlanningDept.Initials - - te Date
PlanningMgr..Initials Date
(IfNeighborhood Notificationk required —See PPg.07)-,
Fire Dept. Initials Date t'
PublicWorksDept.Initials i Date
PoliceDept. Initials..AL.; Date
%h.144 ANNkit
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
FORpFFICIAL USE ONLY
- Fee 1 -Receipt#
13*ondRequired:NO YES
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
A.
I have read and understand the tiquirements of this permit
/76efi,
ZipState
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E-mailAddress
City
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TelephoneNumber
10_32;342