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Property information

Type of Proposed Use*
1. Restaurant
2. Bar
3. Other
If other, please specify
Number of Employees*
Hours of Operation*
Please specify days of the week and hours of operation on those days.
Will liquor be served in the cafe/tent area?*
1. Yes - Liquor Board Approved
2. Yes - Liquor Board Approval needed
3. No
Will there be a change in the food or beverage preparation or storage for the outdoor cafe/tent service?*
1. Yes - Health Department Approved
2. Yes - Health Department Approval needed
3. No
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Will the exterior of the building be altered in any way?*
1. Yes (Attach diagram of changes)
2. No
Will there be outdoor storage (including temporary storage) or operations?*
1. Yes
2. No
Will the interior of the building be altered in any way?*
1. Yes (Attach diagram of changes)
2. No
If yes to outdoor storage, please explain in box below
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Size of tent proposed*
Flame certifications for all tent materials*
Flame certifications must be provided
Is there any electrical, plumbing, or mechanical work being conducted for the proposed tent area?*
1. Yes
2. No
If yes, please explain proposed work
How will the tent be anchored to the ground?*
How will the general public be protected from the tent anchors?*
Will the tent have open sides or be enclosed for weather protection?*
Will there be any flooring installed under the tent or will tables and chairs be on the ground?*
What activities will be conducted under the tent, such as dining, cooking, etc.?*
Will existing signage be affected (altered, added, or changed)?*
Tent Site/Seating Plan Drawing*
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.
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The Applicant hereby certifies and agrees as follows: 1) That he/she is authorized to make this application, 2) that the information is correct, 3) that he/she will comply with all provisions of City of Hagerstown Regulations and State Laws whether herein specified or not, 4) that no work requiring permits will be performed on the referenced property that is not specifically described in this application prior to obtaining said permits, 5) that he/she understands that any and all electrical, plumbing, or mechanical work requires separate permits. Any changes made without approval of the agencies involved shall constitute a suspension of the building permit until revised plans are approved. A revision fee may be charged.
Applicant Name*
Applicant Email*

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