HomeMy WebLinkAboutTemporary Activity 20150058 - PageTAP No.
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)
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
StartDateofActivity:(mm/dd/yyyy)EndDateofAlvity:(mni/dd/yyyy)10 6li
Desc iptio ofActivity!
cc
LocationofProperty/Address/Assessor'sParcelNumber(APN):p
os
Ftiov2419/4-s-r
Bu 'nessName:
ApplicantorAuthorizedAgent(PleasePrint)Property Owner (Please Print)
14111 oy 1 ,010.1
MailingAddress M ihngAddress
ity
TelephoneNumber
read an
at re of Applicant
z
q 10
.State Zip ity
-6
E-mailA ress Telepho eNumber State
Zip
E-mailAddress
erstand the requirements of this permi
Date ignatureofProperty Owner ate
kori
0
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 anc temporary event fixtures.
Se&otifoic)i
r:Ift A'cp)-Noirs:
I)R(Dx
nt-iinvishor 'Lear -Feeri-S
2)Prblfikk lx /08-C,
eXiin IA10111((wag.1_,06°,0
tpo-to - >5 PIT"'airAdum)....
411w.ed Tu.IA /
Approved: Planning Dept. Initialsj. Date 0
Date
(If Neighborhood Notificatior is required - See PPi-107)...
Fire Dept. Initials Date 10/
(St Public Works Dept. Initials E--.._Date /d/k//5—
Police Dept. Initials Date
FOR FFICIAL USE ONLY
Fee -Receipt # 22,0
')ndRequired: 0 NYES #
Planning Mgr. Initials
Distribution: White Yellow Pink Goldenrod
(Planning) (Fire)(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
TAP
N
o /fr.*5&
Afiplication.for TemporaryActivity Permit
q,q(i f...00(5(r1E.e.f/ittIt aq-
1,
Property 'Owner (Pfeak Print),
ICN1 "?'•(ci Yr, r-.1
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
fT4-1 hirt I.bi4c ;1.1 rvo . 1Zuos-
?WI--
Location of Propet:ty/Address/Assessor'sParcel Number (APN):4":1-0/12-1VA
,11)N14*10\atv —4?)
Business Name:EVAK\61:I.ICAL.,-FRE C4 g(W oNytitieptinTI-ACrA,, ohncoo
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)
Start Date of Activity:orinvddiyyyy,10911)I 21)IG EndA)ateof Activity:(mmirld/yyyy) 10 //9-'5
Description of Activity:-ef l90111 *WI 1216
ff 'epti
h
ApPlicant or AtithorTzed Agent (Please'Print)
17,/ciGhed(1IVI
'Mailing Addres§Mailing Addre-ss
41 A1/1-fi(1.P—ef 1/1 rv-dzylq'ac, fr\ CA
OtY State Zip.City j State Zip,
.iti ii5)(.1L'M L Ji ,Y10---61(_k ).e,a) -1ILi/.63(t 'i "11)i he
l
i
v
e
s
(
?
)
e
-
C
c
-Ii19,ore
TelePhone Number .-.._) i E-mail Alfiliess j Telephone Number E-mail Addss
s..
i
_..
.(474•1U A in
ApPlilant1-•-Date ignature of Property 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.
See,ii
NOtt.S:
I have read and understand the requirements of this permit)
fzrodVott lo 13-C ,terfins.6,w4kor ivar
vx-C-IntAlsb.P.,l-PL,0,0
31 LP6.-el1)>5
14) 4 ihiLA)4 0)U.I •J2f
ApPro'ved:'FlanningDePt: bate
Planning Mgr Initials Date
r..(If Neighborhood Nbtification is required -1See PPJ-107).:0
1011'.Fire bept.Initials Date
. Public Works Dept.Initialse7:—Date w
r
.
Poliëe „InitialS ':-Date
•41-
FOR:OFFICIALtSt ONL)L4
ed :12 ..
ridRequired;NO
. Distribution: White Yellow
(Planning) (Fire)
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
"012r.
,
0 A
TAP
N
o
.
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 maximum of four events/activities each calendar year are allowed
Violation of any of the requirements listed on this permit is subje
c
t
t
o
i
m
m
e
d
i
a
t
e
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)10 271,iC End.Date of Activity:(mm/dd/yyyy) I0 910 /Tr,-6
Description of Activity:P4ri r Ali )1If 1-,1110--t.._i Nt-!,1Pirl ir (.,
(111!I ,f-K ;1)(.i 06f.hrra 4' . 14uv‘c' "q
Location of Property/Address/Assessor's Parcel Number (APN):
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
446 `
Planning Department
(714) 536-5271
Business Name:vilwfo- ICAL.-FRE C 0 R(1+-4- 01\1111\'‘f-Tr3,4,rA
KP,yvir6t. oh nsrAcI
ApPlicant or Authorized Agent (Please Print)
1(114../ nt (A(1
;ITN^Pr(
1
1
((.,i( t,r'r it I, rf Ipt ofh
Property 'Owner (Please Print)
K)I2M Jc,S4-
Mailing Addres's
41I V"Ii h A 11(
Mailing Addri-ss
41i r oriin h
CA q,
. ,
City State Zip City
.;i-19)41 1 -e-trhi -A-cl t945;(‘hvPs(,e-fc
TelePhone Number J e,E-mail Address Telephoile Number E-mail Addiess
- I haye read and understand the requirements of this permii)
.1/A (*).7. (5
"J` Signature of ApPlicant Date ignature of Property 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.
See, i--icJ ie
State Zip
Cte
o
FOR OFFICIAL USE ONLY
"----Fee 2 •Receipt #
\bnclRequired: NO )(YES #
Distribution: White Yellow
(Planning) (Fire)
rf“icto4
,"
i
°
4
4
D
-
Jertinowshor Mar -fern
-
x
I —
rpt'incitmchPe arag.1...P60o
31 i-P644
4//o,444 kt
i
n
"
CPAi2f
Approved: Planning Dept. Initials IV Date /0 teF
Planning Mgr. Initials Date
(If Neighborhood Notification is required - See PP,-107)
Sm.Fire Dept. InitialsNt",*‘ Date lo
V
h
S
.
kt, Public Works Dept. InitialsrDate /0/
k
/
1
5
-
-
PoliceDept. Initials / Date
Pink Goldenrod
(Applicant) (Code Enforcement)
GAforms\ping\TempAct_Permit
Fafb
c-Oex00"(7)NS
S270
egeAtvi*
.11,•• •••••• • •
ft 11MGRSCHOOLIJ
C.L
am,
ci
ta t 40,a,4
is-mt,6A-12424CA-30c
Florida St.
•• •• •
• ••• ••••••
• • •••• •••• ••••......
10e4nvofemfVa\firntftd 1CAmie*D-1wrzrzrw-•'' '285.91.'/ ' • / ///,, // • / / •.•0„,1518e. 4•••-•. • ;;•.; s• •t • ...It".""—"4': •••4'4.; -4...44.4....•:."// //,-/t; 7,7/„.- t''' •TY I