HomeMy WebLinkAboutTemporary Activity 20150040 - PageTAP No. 15—Lb •
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 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)
StartDateofActivity:(inaildd/yyyy)) S EndDateofActivity:(intrldd/yyyy) It /3-0 I S
Descriptionof Activity:NA KV
Location of Property/Address/Assessor's Parcel Number (APN):
Business Name:_Ok-
0
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
Applicant or .A.uthori Agent easePrint)
Liop 046
Mailing Address
r\?)tacill, Cci eig
City State Zip
Ottc0Lizel-sl o-2.1.442eV
TelephoneNumber E-mailAddress
Signat e of Appli nt Date
Propert Owner (Please Print)
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Mail pg Address
5S11-i;Atc
City State Zip
CNs•
2 E-mailAcidress
Signature of Prop_rty Owner Date
Telephone umber
I have read and understand the requirements of this per
/01/5 01-5'
Please provide a dia ram in this space, showing location of activity, directional anow showing north, streets
and/or s, i.e. s ructures, and layout of site and temporary event fixtures.
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FOR OFFICIAL USE ONLY Approved:PlanningDept.Initials Date • 0 •
Fee 2tA Receipt#14o 9--PlanningMgr. Initials Date
cin (If Neighborhood Notification is required - See PP-lcaBondRequired:NO YES # Fire Dept. Initials—i Date to10.15 SEE
,PublieWorksDept InitialsDate a7fc 0 5
PoliceDept. Initials / _Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforeement)
Mak&113
GAfcrins\pleg\TempAct_Permii
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648 '
Planning Department
(714) 536-5271
Shall not exceed 96 consecinive hours (except agricultural sales)
Must display,a copy of this permit on premises of activity location'
A maxirnueof four events/activities each calendar ydar are allowed
Violation a anyof the requirements liStedon 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:.(mmidwyxyy) /1 t
1Ic End Date of Activity:(mmicfcl/yyyy) ti /3U I iS
Description of Activity: bo.4 OA.<\A 11 '_•)1:13
TAP No 15—qo
Applicationfor TemporaryActivity Permit
Location of Property/Address/Assessor's Parcel Number (APN):
c 6,c „A el2 LA 7
Business 'Name: Ai-4('t4 &0c.'
C-ibo tZA1,—
Applicantor AulhorizeAAgent(Please Print)
OD''37 4„,fri•A
MailingAddress •
Properly Owner(Please Print)
,14.41)01,
MailingAddress
Tc. •.)[-‘'Die7,-c)'-y-
04/9)-LeP7
State Zip ;City
1./.ehAPTV‘t..1 Gig Met; .(("I's
t>
E-mailAddres ' "TelephoneNumber
41 I t+- miI have ead and understand the requirements of this pernti, •
TelephoneNumber
SignatureofProperty Owner
'
:SignathreofAppliOnt Date
Please Provide a diagram in this space, showing ldcdtion of activity, directional arrow showing north, streets
and/or landmriks, i.e. stmctures, and layout of site and temporal.),eyent fixture's.
a/4 ;•{150(i)
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'Appio ied:planning Deptinilials.1115011PDate in't0 I.
-.Fee :: ' ISA ' ' ., --Reai.Pi'#q`i
- ' 7....,PlanninkMgr.. Initials'.'. ' i - •Date .,Of Neighborhood NOtif-i4ationis required 7See,;PP,-;19D,Bond'Recluirect:ivb 'YES- ';.'"."`.Fire Dept. :: InitialsVA.0:40,,i5
.Pbblie NN:torkDept."Initials * :Date ,41,14 .c
' •Police-Dept.. 'Initials,
4 Date
Distribution: : White Yellow./'Pink I Goldenrod
' (Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
oiPlanning'Apartment
(714)536-5271
:V
TAP No.Ot0.
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 maximunNf four events/activities each calendar year are alloweds$A,Violatibriaany of the requirements listed on this permi(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)( A EndDate of Activity:(mm/dd/yyyy)
Description'ofActivity:
Location ofTroperty/Address/Assessor's Parcel Number (APN):
Business Name:
•
Applicantor AuthorizedAgent(Please Print)
'r
Property.Owner(Please Print)
4,SM
MailingAddress MailingAddress,
City-State Zip City
4,4)AUVi-
TelephoneNumber E-mailAddress TelephoneNumber
-1tki
I have read and understand the requirements of this permit ('
SignatureofApplicant Date Signatureof Property Owner
C )4-,
t tState Zip
PO 1 re 1:1;--A443.
'E-mailA-ail-rigs
Date
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmark's, i.e. structures, and layout of site and,temporafy event fixtures.
•
t -
FOR OFFICIAL USE ONLY
k Fee k Receipt#4O 91 q""
BondRequired:NOX YES #
Approved:PlanningDept.Initials 'V% Date
PlanningMgr. Initials ": Date
(IfNeighborhoodNotificationisrequired-SeePP-I07)
Fire Dept Date
PublicWorks'DeptInitials-L.Date ;
PoliceDept. Initials bate
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit