HomeMy WebLinkAboutTemporary Activity 20150051 - PageTAP No./01S- OS I
Application.for TemporaryActivity Permit
Shall not exceed 96 consecutive ;lours (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 a de icted on the diagram below for activity duration only)
Start Date of Activity t (mrn/dd/yyyy)0/0 End Date of Activity:(mm/dd/yyvy)
Description of Acti,ity:(/IA RFDA'rot)
S'eAvice i4>6 oi U.I I/1ijc.•
Location of Preperty/Address/Assessor's Parcel Number (APN):
(s
Business Name:FP
A 5-r 03
Applicant or AuthorizedAgent(Please Print)
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MailingAddress MailingAddress
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City State Zip City State Zip
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E-m IAd essTelephoneNumberE-mailAddress TelephoneNumber
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
12Ak
--i AP/V —0
S /A14
I hay ad and u e stand the re uire ents f this permit/
(
SignatureofProperty Owner,,gnature of Appl ant Date Date
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks i.e. structures, and ia out of site and tern orar event fixtures.
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erk/7/2
SC-COR /7-y
FOROFFIcIALUSEONLY
Fee $4'0'1 Receipt
Bond Required: NO YES #
Approved: Planning Dept..Initials'
Planning Mgr. Initials
(If Neighbothood Notification is re
Date - •1S-
Date
-See P
Fire Dept. Initials Date
Pub!icWorks Dept. Initials Date
,•••Pol'ce Dept. IritialaAc—Date_i-
Distribution: White Yellow Pink 'Sioldenrod
(Planning) (Fire)(ApplicanC ;Code 7;nforcement)
G:\forms\pIng\TempAct_Perrnit
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
TAP No /2(.rc'
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)i/Ogh 0/ 41'End Date of Activity:(mm/dd/yyyy)tiq /(2-d62°:1 4.*".
Description of Activity: M
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Location of Property/Address/Assessor's Parcel Number (APN):
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Business Name:L AJa'.;A
/4,AAA :1)I/c/4
Applicantor'AuthorizedAgent(Please Print)
MailingAddress
/Wf— /i(
City
4,)
TelephoneNumber
Property Owner(Please Print)i•t<
MailingAddress
(ii qgtilf 41 9e / -1 2)(6
State Zip.City
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E-mailAddress V TelephoneNumber
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State Zip
SThei;
E-mailAddieSs
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I have read ancruriderstandthe r9uirements of this permit
SignatureofApplicant 71 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.
0
(t:ila7A ie
4Rrnri
FORpFFICIAL USE ONLY
Fee -k4 Receipt #
Bond Required: NOt YES #
tApproved: Planning Dept Initials A- •Date
Planning Mgr. Initials Date
(IfNeighborhood Notification is.required —See PP-107)
Fire Dept. Initials )'` Date *Id 4-
Public Works Dept. Initials Date
police Dept._ Date
Distribution: White Yellow Pink Goldenrod
'(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
Date