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Revised 01/01/2020
(CA 10.9.17)
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APPLICATION NUMBER DATE
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LAKE HAVASU CITY
Temporary Use Permit Application
Return completed application to the Development Services Department
2330 McCulloch Blvd. N., Lake Havasu City, AZ 86403 Phone: 928.453.4148 Website: www.lhcaz.gov
For faster processing, email completed application to:
planninginfo@lhcaz.gov
For use specific standards see Lake Havasu City Code Section 14.03.03(F)
PHONE
(2) APPLICANT NAME/MAILING ADDRESS/CONTACT INFO (if different than Owner)
(1) OWNER NAME/MAILING ADDRESS/CONTACT INFO
PHONE
(4) EVENT INFORMATION
Description of Event:
(3) SITE LOCATION
BLOCK
STREET ADDRESS
TRACT
If Yes; Number
Size (sq. ft.)
Event End Date & Time:
Request Law Enforcement
Concessions
Canopies If Yes; Number
If Yes; Number
Size (sq. ft.)
How will noise levels be managed to avoid creating a public nuisance to residents in the area of the event?
Noise From All Sources Related to the Event: Indicate types and sources of significant noise from the event/use and the
times of day these noises will occur. Sources of noise cannot exceed the decibel level outlined in Chapter 9.30.050 of the Lake
Havasu City Code.
Noise Source(s):
Page 2 of 2
Revised 01/01/2020
(CA 10.9.17)
$115.43
$57.71
schmelings@lhcaz.gov
morrisl@lhcaz.gov
DATE
(8) CLARIFICATION
(9) CERTIFICATION/ACKNOWLEDGEMENT
Stuart Schmeling, Director 928.854.0714
Luke Morris, Planner 928.854.0722
SIGNATURE
A person may request the City to clarify its interpretation or application of a statute, ordinance, code, or policy affecting the
procurement of this license in accordance with ARIZ. REV. STAT. § 9-839.
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.
g) I am aware of the steps and timeframes involved in the processing of this application.
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.
f) 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.
c) If any information is incorrect, I understand this permit can be revoked.
e) I understand this event may be monitored by the City.
b) Staff contacts applicant for payment of fee (3 business days). Fees can be paid by credit card, check, or cash.
d) Staff mails original Notice of Action to owner and a copy to applicant (if different).
d) 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.
(5) SUBMITTAL REQUIREMENTS
b) Written permission for the event from the property owner
a) Completed applications must be submitted to the Community Investment Department 21 days prior to the event
Temporary Use Permit (4-30 Days - Non Profit 501C3)
c) 1 ea. 8 1/2" X 11" Site Plan including restrooms, parking, access, concessions (if applicable)
(6) APPLICATION PROCESSING TIMEFRAME & FEES
Page 2 Temporary Use Permit Application
Temporary Use Permit (4-30 Days)
$464.74
Temporary Use Permit (3 Days)
a) Staff reviews submittal requirements for completeness and compliance with the Lake Havasu City Code (3 business days).
c) Staff processes review which includes multiple City departments (10 business days).
Temporary Use Permit (3 Days - Non Profit - 501C3)
$232.88
(7) CONTACT PLANNING FOR FURTHER INFORMATION
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signature
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