2. Name of Business*
3. Address of Business*
5. Contact Person*
6. Telephone Number*
8. Today's Date
9. Email Address*
11. Description of Intended Use (including hours of operation)
13. Will liquor be served in the sidewalk cafe area?*

    1. Yes
    2. No
14. Has Liquor Board approved the service of liquor in the sidewalk cafe area?

    1. Yes
    2. No - No date schedule
    3. No - Date scheduled
16. Will there be a change in the preparation, storage, or service of food or beverage?*

    1. Yes - Health Department Approved
    2. Yes - Health Department Approval needed
    3. No
18. 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.
20. Printed Name of Applicant*
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field