Fillable LAKE HAVASU CITY Temporary Use Permit Application (Lake Havasu City)

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LAKE HAVASU CITY Temporary Use Permit Application (Lake Havasu City)

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The LAKE HAVASU CITY Temporary Use Permit Application (Lake Havasu City) form is 2 pages long and contains:

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  • 15 check-boxes
  • 30 other fields

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File type: PDF

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APPLICATION NUMBER DATE
Phone:
Email:
Phone:
Email:
Street Address:
Assessor Parcel ID: TRACT LOT
Description:
Event Start Date & Time: Event End Date & Time:
Tents Yes No If Yes; Number Size (sq. ft.)
Canopies Yes No If Yes; Number Size (sq. ft.)
Booths Yes No If Yes; Number
Fireworks Yes No
Concessions Yes No
Private Security Yes No
Request Law Enforcement Yes No
Noise/Source: Time(s) of Day:
Noise/Source: Time(s) of Day:
a) Completed applications must be submitted to the Development Services Department 21 days prior to the event
b) Written permission for the event from the property owner
c) One (1) ea. 8-1/2" x 11" Site Plan including restrooms, parking, access, concessions (if applicable)
a) Staff reviews submittal for completeness and compliance with the Lake Havasu City Code (3 business days).
b) Staff contacts applicant for payment of fee (3 business days). Fees can be paid by credit card, check, or cash.
c) Staff processes review, which includes multiple City departments (10 business days).
d) Staff mails original Notice of Action to owner and a copy to applicant (if different).
Temporary Use Permit (4-30 Days): $464.74
Temporary Use Permit (3 Days): $115.43
Temporary Use Permit Temporary Use Permit
(4 - 30 Days - Non Profit 501C3): $232.88
(3 Days - Non Profit - 501C3): $57.71
(1) OWNER NAME/MAILING ADDRESS/CONTACT INFO
LAKE HAVASU CITY
Temporary Use Permit Application
Submit completed application to the Development Services Department / Planning Division:
2330 McCulloch Blvd N. / Lake Havasu City, AZ 86403 o
r
planninginfo@lhcaz.gov
For use specific standards see Lake Havasu City Code Section 14.03.03(F)
(4) EVENT INFORMATION
(3) SITE LOCATION
BLOCK
(2) APPLICANT NAME/MAILING ADDRESS/CONTACT INFO (if different than Owner)
How will noise levels be managed to avoid creating a public nuisance to residents in the area of the event?
(5) SUBMITTAL REQUIREMENTS
Noise From All Sources Related to the Event: Indicate type/source of significant noise from the event and times of day the noises will occur.
Sources of noise cannot exceed the decibel level outlined in Chapter 9.30.050 of the Lake Havasu City Code.
(6) APPLICATION PROCESSING TIMEFRAME & FEES
1of2
Revised10/20/2020
(CA10.09.17)
(7) CONTACT PLANNING FOR FURTHER INFORMATION
Luke Morris, City Planner (928) 854-0722 morrisl@lhcaz.gov
Stuart Schmeling, Development Services Director (928) 854-0714 schmelings@lhcaz.gov
a) I hereby file the above request as an authorized applicant.
b) To the best of my knowledge, the information provided herein is accurate and true.
c) If any information is incorrect, I understand this permit can be revoked.
d)
e) I understand this event may be monitored by the City.
f)
g) I am aware of the steps and timeframes involved in the processing of this application.
SIGNATURE DATE
(8) CLARIFICATION
(9) CERTIFICATION/ACKNOWLEDGEMENT
CONFIRM SIGNATURE
To submit this application electronically, Lake Havasu City requires that you certify your application by submitting an electronic
signature. Please type your name in the field below and click the confirm signature check box.
I understand failure to comply with conditions placed on this permit or the creation of a public nuisance as defined by applicable
state and local law may result in the immediate abatement of the offending activity or revocation of this permit.
Lake Havasu City reserves the right to require utilization of trained public services personnel as may be warranted by certain or
specific conditions or as deemed necessary by the City.
A person may request the City to clarify its interpretation or application of a statute, ordinance, code, or policy affecting the
processing of this application in accordance with ARS § 9-839.
Page 2 Temporary Use Permit Application
2of2
Revised10/20/2020
(CA10.09.17)
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LAKE HAVASU CITY Temporary Use Permit Application (Lake Havasu City)

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Completed 23 January 2021

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