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Application for Temporary Use of Outdoor Space - Private Property
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Name of Business
Address of Business
Description of Intended Use (including hours of operation)
Will liquor be served in the sidewalk cafe area?
Has Liquor Board approved the service of liquor in the sidewalk cafe area?
No - No date schedule
No - Date scheduled
Will there be a change in the preparation, storage, or service of food or beverage?
Yes - Health Department Approved
Yes - Health Department Approval needed
Site plan/seating plan attachment
Plan to illustrate intended use of sidewalk, location of entrance doors and fire hydrants for this business and neighboring businesses, location of trees and curb line, and layout of tables, chairs, umbrella overhangs, and perimeter fencing.
Printed Name of Applicant
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