HomeMy WebLinkAboutTemporary Activity 20150041 - Pagetai
TAPNo. 5 -00 LI 1
Application.for Temporary Activity Permit
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Shallnotexceed96consecutivehours(exceptagriculturalsales)
Mustdisplayacopyofthispermitonpremisesofactivitylocation
Amaximumoffourevents/activitieseachcalendaryearareallowed
Violationofanyoftherequirementslistedonthispermitis subjecttoimmediate
issuanceofacitation
Permitted:outdoordisplayofgoods(banners,pennants,streamers,andflagsare
allowedasdepictedonthediagrambelowforactivitydurationonly)
Start DateofActivity:(mm/dd/yyyy)I I C.-EndDateofActivity:(mm/dd/yyyy)1if 4-0 1T*
DescriptionofActivity:la eLttek •
LocationofProperty/Address/Assessor'sParcel Number(APN): 1 Li
BusinessName:rrow 5 e-Si NMI
Clr RCA/
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Applicantor AuthorizedAge (Please Print)'Property Owner (Please Print)
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\ kinilingAddress Mail tinIkddrAss 12‘,4-13- 14i 6
City State Zip City
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TelephoneNumber E-mailAddress Telep`honeNumber
State Zip
E-mailAddress
ereadandunder tiandtherequirementsofthispermit
1010'Lc--
Sign re ofApplica Date Signat Pro rty Owner Date
Pleaseprovideadiagraminthisspace,showinglocationo acivity,directionalarrowshowingnorth,streets
and/orlandmarks,i.e.structures,andlayoutofsiteandtemporaryeventfixtures.
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FOROFF CIALUSEONLY
Fee I Receipt #
Bond Required: NO YES #
Approved: Planning Dept. Initials Dat 2. 1
Planning Mgr. Initials Date
(If Neighborhood Notification is required - See,1)?:107)
Fires Dept. Initials 7.0e Date lot I2-fri
Public Works Dept. Initials Date
Police Dept. Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
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CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
Start Pate of Activity:(mm/dd/yyyy) I4 3.0 Ic-End Date of Activity:(mm/dd/yyyy)
Description of Activity: uJc (Jo oY . -e'ct.-'t.V.-eat •
Location of Piroperty/Address/Assessor's Parcel Number (APN):\i'd a V'V\C-V tk V
Business ame:coi-V"-C)S Nes) Cone)ichn‘apLi
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)
I Li i
TAP No. -O9 I
Application for TemporaryAct&ity Permit
•
15• 9 26043
Applicant or Authorized Agcti (Please Print)1.yD kt3
Property Owner (Please Print)
Mailing Address j Miilin Address
tbn \ 4 C 2 Li4-_
-.State Zip City
„114-- ?)6-1.1 hcoesi atiob
Telephone Nuniber E-mail Address -I Telephone Number
o n-(Alf
E-mail Address
I have read and understand the requirements of this permit
o/O'JS
sigoottir
'
6—* 1 o2ai
Signature rPro'pertY Owner Date
00"--
Please provide a diagram in this space, showing locationfiZrivity, directional arrow showing north, streets
and/or landniarks, i.e. structures, and layout of site and tefrilorary event fixtures.
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FOR OFFICIAL USE ON10(--,
Fee keeeiPtr#
Bond ReCiuired:NO 'YES
Approved: P1anning•Dept4nitials:- DateLinzits--
Pladning Mgr Initials Dace'.
(If Neighborhood NO:tifictio'nis regtiired —See,PP-101)
Fite De'pt ljatex, 2.1
Public Works Dept Initials Date
Pohce Depjjnmals DaieC.
bistribution: tWhite f Yellow
'(Planning),".s:'(Fire)
N./
PinIc70: "'Goldenrod
(Applicant)"4 (Code Enforcement)
GAforms\ping\TempAct_Permit
TAP
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Application for Temporary Activity Permit
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Shall not exceed 96 consecutive hours (except agricultural sales)
Must display a copy of this permit on premises of activity location
*4‘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)
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
Start Date of Activity: (mm/dd/yyyy) ' I )End Date of Activity: (mm/dd/yyyy)1,1"•
Description of Activity:l A
'
Location of Property/Address/Assessor's Parcel Number (APN):1-1
Business Name:
#(
Applicant or Authorized Agent (PleasePrint)
, I. -
Mailing Address .
( .k:frk jUi t
Ciqr ,State Zip
44, it+),17,„ji
Telephone NuMber E-mail Address
I 0 .
1 ,
4% •
City
‘414li61 7/ Li
Telephone Number E-mail Addr
e
s
s
fi.)on—
Date
I have read and understand the requirementsof this permit
e s'-.-
SignatUre of APplicatit yi Date Signatureöf Prolierty Owner
-•.„,„„
Please-providea diagram in this space, showing location ofEtiVity, directional arrow
and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
showing
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Property Owner (Please•Print)'
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Mailing Address
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State
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FOR OFFICIAL USE ONLY
Fee 11 :**„,4e Receipt #
Bond Required: NO YES - #
Approved: Planning Dept. Initials
Planning Mgr. Initials
(IfNeighborhoodNotification
Fire Dept. Initials
Public Works Dept. Initials
Police Dept. Initials
Date(ii
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N
Date
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Date 1 .114:.
Date
Date
Distribution: White
(Planning)
Yellow
(Fire)
-Pink ",Goldenrod
(Applicant):d(Code Enforcement)
GAforms\ping\TempAct_Permit
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