HomeMy WebLinkAboutTemporary Activity 20150063 - PageTAPNo. 5—•63
Application for Temporary Activity Permit•
Shallnotexceed96consecutivehours(exceptagriculturalsales)
Mustdisplayacopyofthispermitonpremisesofactivitylocation
Amaximumoffourevents/activitieseachcalendaryearareallowed
Violationofanyoftherequirementslistedonthispermitissubjecttoimmediate
issuanceofa citation
Permitted:outdoordisplayofgoods(banners,pennants,streamers,andflagsare
allowedasdepictedonthediagrambelowforactivitydurationonly)
StartDateof Activity:(rnm/ddiyyyy)11—28-1S End Dateof Activity:(mm/ddiyyyy) 2--2B— 15-
DescriptionofActivity:e.e.
Locationofproperty/Address/Assessor'sParcelNumber(APN): 0
C•11-'
Business ame:e
rYtZS
Mailing Address Mailing Address
1-017 qm5-arm °or/d4
City State Zip City State
-6 153D
TeJe one Number E-mail Address Telephone Number
CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
Applicant or Authorized Agent (Please Print)Property Owner (Please Print)
E t'2.ncira ci
9 o723
Zip
E-mail Address
I have read and un
nahlre of plicant
tand e requirements of this pe '
Date Si tu of Property Owner
I 6 t
Date
Pleaseprovideadiagraminthisspace,showinglocationofactivity,directional
and/orlandmarks,Le.structures,andlayoutofsiteandtemporaryeventfixtures
It M05}cbt4fn on operc.hon<41permityKlitc,
COY ci kilt.over L4b St
* cfre en5o r most.be p14r-e0 So
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arrowshowingnorith,streets
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Distribution: White Yellow
(Planning) (Fur)
Pink Goldenrod
(Applicant) (Code Enforcement)
(-3aciid Ave
GAfortnApIng \TempAct_Pcrmit
" bait-_
'Planning Mir.' Initials-
Date
(U"keighbnrhoodizotificano41S-reniiirOJ,,teeP.P,-107).-;,
,15.
"iii/20*-,s+Dcip.L 15-:J_
olideDept.- Initials
TAP No.
Application for Temporary Activity Permit
!A,
City State Zip City State
-cr330
Telephone Number E-mail AddressE-mail Addressne Number
Si tu of Property Owner
I have read and un tand e requirements of this pe •
nature or plicant
Date
nal-
* A Ftre •xtin501 must be picgood so
e.Nceect
ittyet d6Fttnc.c do
DI C
701-"r , >..-r Ekyr (4‘dr7v.4.Ze?..7.4/20et.ti, g)
Ty
da i3Uldirn
Per.f.
Pink Goldenrod
(Applicant) (CodeEnforcement)
Distribution: White Yellow
(Planning) (Fire)GAforms\ping\TempAct_Permit
Locationo pro rty/Address/Assessor'sParcelNumber(APN):0
CV•
nictS ern es
Mailing Address Mailing Address
Lon &,1 61OW3-arG2 Oi)irf
Business ame:
Applicant or Authorized Arial (PleasePrint)Property Owner (PleasePrint)
e or 2-ndra ci
9o7a3
Zip
Please provide a diagram in this space, showing location of activity, directional arrow showing notith,streets
and/or landmarks, i.e. structures, and layout of site and temporary event fixtures.
MUM.obtatn or operahonql petrylotry_io,
For 4 Fentover 514 .
5
t`i° l'''*°1i•ln51%rnosF.be
co- CA corrters •
piR
412a4.
63arCiald Ave
CITYOF
HUNTINGTONBEACH
2000MainStreet
HuntingtonBeach,CA92648
Planning Department
(714) 536-5271
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 Dateof Activity:(mmiddiyyyy) II-28- EndDateof Activity:(mmkwyyyy)15-
Descriptionof Activity:
ejSik,
Or,
I 6 t
Date
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1FOR_OFEICIAI.:USE()NIS
:Pee-•Receipt !!
Bond-It:di-quire&NO YES -it': _
E.
Approved: Planning Dept. Initials DatesAy_ Planning Mgr. Initials_.L_Date n (IfNeighborhood:Notificationisrequited See PP-1(17) ._
ire Dept. Initials St bite-41-Oile IS .
Works Dept initials-Date..014:fri/.5
Police Dept Initials Date -- ..