Temporary Outdoor Dining Permit Application

Temporary Outdoor Dining Permit Application
Application Information
Applicant's Name
First NameLast Name
Applicant's Phone Number
Applicant's Email
example@example.com
Company Information
Company or Business Name
Company Location
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Business Hours Operation
Hour Minutes
AM/PM Option
Until
until
Hour Minutes
AM/PM Option
Kindly upload a picture or sketch of the planned expanded area.
Cancelof
Upload the consent from the property owner.
Cancelof
Are you going to serve alcohol?
YesNo
Are you going to install a tent?
YesNo
How large the tent will be?
Number of chairs in the expanded area
Number of tables in the expanded area
Terms & Agreement
1. The company should follow the COVID-19 guidelines provided by the local government.

2. The consent of the property owner is required for the temporary expansion.

3. It is the responsibility of the company to arrange and position the tables, chairs, tents, etc.

4. The expanded area should not block any existing equipment necessary for the road or other businesses.

5. The expanded area must be clean and maintain properly.

6. All information entered in this form should be accurate and true.
Date Signed
MonthDayYear
Date
Business Owner Signature
Clear
Should be Empty:

Application Information