Department of Planning and
433 River Street, Suite 5001
Troy, N.Y. 12180
This application pertains to businesses with valid food service establishment licenses and that would like to provide outdoor dining
opportunities on the publicly owned sidewalk or right-of-way. This form should be updated with configuration or business
ownership changes, as needed.
Legal Entity / DBA:
Owner / Manager:
If yes, please follow guidelines set by the Rensselaer County Health Department and NYS
Liquor Authority permits for outdoor dining.
Copy of SLA permit.
Hand drawn plans to scale are acceptable.