HomeMy WebLinkAboutTemporary Activity 20150064 - Page•
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CITY OF
HUNTINGTON BEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
StartDateofActivity:(mm/dd/yyyy) I I IS"EndDateofActivity:(mm/dd/yyyy)
DescriptionofActivity:r
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LocationofProperty/Address/Assessor'sParcelNumber(APN):1.1:1 c 8L.
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C6C343345n-3/1-er Lo,Ly,
Telephone Number E-mail Address
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I have read an understand the equirements of this permit
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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 end temporary event fixtures.
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Fee 141 Receipt #
Bond Recrired: NO YES #
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Distribution: White Yellow
(PIPrinnig) (Fire)
Pink Goldenrod
(Applicart) (Code E cr cement)
G:\forms\pIng\TempAct_Pennit
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CITYOF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
PlanningDepartment
(714)536-5271
TAP No.' tie°15-064
Application for TempOrary Activity 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)
Start DateofActivity:(mm/dd/yyyy)11 IS.End DateofActivity:(mm/dd/yyyy)1 1.4 I t
DescriptionofActivity:C 51 r"' 4 S.r s
LocationofProperty/Address/Assessor'sParcel Number(APN):11 2-11...4•Cvk a L.611_641E,
0(5 ( /')"ToeNeS `1"-(t-c-V
14 63 0 r OAA I. -Zo•tC..
Property Owner(Please Print)
I f 2-1 1 iLi1 Dr-
BusinessName:1 pr
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Applicantor AuthorizedAgent(Please Print)
MailingAdaress
1;44-.4‘•
11111. City.,State Zip
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goC,.MailingAddress
(Pr-.1.,(1%-18 A-AP 1-1e)"(Ar
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City 'State • Zip
TelephoneNumber E-mailAddress TelephoneNumber E-mailAddress
I have fead and understand the requirements of this permitIIotC
Signatureof4.pfilica-nt Date SignatureofProperty Owner 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.
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BondRequired:ir,6 ".,.
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411 rii)t 1 C Liog at/P
Approved:planniniDe`pt.iniiials'11414,.. Daie
Planning,Mgr.---: Date
' (If Neighborhood Notification is-required- 8ee PiP-107)
Fire.,Dept: InitialANk Date19illt5
PublicWorks:Dept:Initials 1;P5- Date:tzi-t ) Ie"7
PoliceDept.•Initials Dater ‘
ACIA cP
Distribution: White Yellow Pink Golatnrod
(Planning) (Fire) -(Applicant) (Code Enforcement) '7 G:\forms\Ong TempAct_Permit
TAP NO./WI 1,16L-1,
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 DateofActivity:(rnm/dd/yyyy) 11 I I / S EndDateofActivity:(mmidd/yyyy)12 11 1ri
CL,r,y)r-.--rc.r
LocationofProperty/Address/Assessor'sParcel Number(APN):11 2 %-*AL. 1--t
BusinessName:1 k---3 pr t A (AN oo."es s
r 0 +53 1-4 fA
02,
CITY OF
HUNTINGTONBEACH
2000 Main Street
Huntington Beach, CA 92648
Planning Department
(714) 536-5271
DescriptionofActivity:
Applicant or Authorized Agent (Please Print)
I3iLj 3e/Nc u
Property Owner (Please Print)
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Mailing Address Mailing Address
(Pr-%IS ArNA NC)"(At goG
City State , Zip(cacao\3 -je(LN
Telephone Number E-mail Address
City
4-1tt fro -
Telephone Number
State Zip
E-mail Address
I have read and understand the requirements of this permit
Signature of pplicant Date Signature of Property Owner Date
Please provide a diagram in this space, showing location of activity, directional arrow showing north, streets
and/or landmarks, i.e. structures, and layoutof site and temporaryevent fixtures.
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Approved: Planning Dept. Initials Date !--./ • 1
Planning Mgr. Initials Date
(If Neighborhood Notification is required - See Pp-107)
C44 Fire Dept. Initialst, Date !;'11 1-r-
Public Works Dept.Initials Date 1:1) I/ I r—
Police Dept. Initials Date
Pink Goldenrod
(Applicant) (Code Enforcement)
G:\forms\ping\TempAct_Permit
GeAcuA ;51....-.0
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OFOR OFFICIAL USE ONLY
Fee Receipt #
Bond Required: NO YES #
Distribution: White Yellow
(Planning) (Fire)