HomeMy WebLinkAboutTemporary Activity 20150048 - Page4
TAP No.
2015 —1+45
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)0 e it / 06 End Date of Activity:(mm/dd/yyyy) 4;)e 14.1-41%
Description of Activity:flEt4 (NO LI\f WTF4T I Otz—
LL.01-J i.o)< oo p1115=Npr—--.s-
Location of Property/Address/Assessor's Parcel Number (APN): i%0 1?-c (-1Z A....
C` SCAX
Business Name:
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
.-
et t
Property Owner (Please Print)
/Ada
ii/fret!,/0o
ec"Applicant or Authorized Agent (Please Print)
C.Aq-
Mailing Address
•434
Mailing Address
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St te Zip City
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City
Tele ne Nu ber E-mail Address Telephone Number
State s Zip,„
„quid6 (4/0 PLC., eosi
E-mail Address
I ave read du erstandtherequirementsofthispermit z 2-1tr
Signature of Applic nt - Date Signature of Property 0 er 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.
PAP-3 b 5U4,0.0c,
CbMLY-o3451RI
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FOROFFICIALUSEONLY
Fee *-2-Receipt #
Bond Required: 0 YES #
Approved: Planning Dept. Initials Date e.
Planning Mgr. Initials Date
(If Neighborhood Notification red - See PP
Fire Dept. Initials Date
Public Works Dept.Initials Date
Police Dept,_ _Initials Date
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
CITY OF
HUNTINGTON BEACH
20004Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
Appltcation 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)
4„1+,Start DateofActivity:(mm/dd/yyyy)II J""),EndDateofActivity:(mm/dd/yyyy)
DescriptionofActivity:aocrc-: 4 CA44.,Si."(10,)Lt‘,11 i't
-L HPY 1 ti .1-)
LocationofProperty/Address/Assessor'sParcel Number(APN):
t ks.211.1'.0 ,4‘,2,
C ts,A.CAZ
%;-1/4Ci"CL-e
Applicantor AtithorizedAgent(Please Print)
MailingAddress
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Ciiy
TelephiCneNuinber
State Zip
s4,
E-mailAddress
City
TV So C $.S ?1,f
TelephoneNumber
Stiite .1Zip
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1
4
E-mailAddress
eTAPNo.-
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.
BusinessName:r4 e
Property Owner (Please Print)
74/7/km/ore 444 zve A04,)
MailingAddress
Date'
- I have read and.u.nderstandthe requirements of this permit
11)44.4 .2c)/c
SignatureOfApplicant Date
/
SignatureofProperty OASer
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.
NPPrJ /;43
,
,
Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms \ping\TempAct_Permit
Approved:PlanningDent. Date:
PlanningMgr Initials Date
,
(IfNeighhorhood Notifiation is required —SeePi);407
Fire: Dept.- Initials e, Date
PublicWorksDept.;Initials . Date
Police,Dept. Initials Date.
FOR OFFICIALUSE ONLY
Fee l Rec'Cipt#
BOndRequired:NOYES