Brickway
Measurment
Store Front
Store Front Lenght
Sidewalk
Measurment
Indicate the location
and the number of
table and chairs in
shaded area
*Indicate Entrance/Exit
door(s)
Chair Amount
Table Amount
Indicate all light poles, meter poles, signage, trees, planting beds, trash cans, benches that are within the sidewalk and
break area. Below is the plot plan you need to fill out.
Feet
Feet
Feet
Curb
Establishment Name
Establishment Address
EXAMPLE
Door
3’
2’
3’
2’
Village Hall
200 Cedarhurst Ave
Cedarhurst, NY 11516
Tree
Dirt Bed
8’
2’
20’
8 Chairs
2 Tables
Meter
Brickway
Measurment
Store Front
Store Front Lenght
Sidewalk
Measurment
*Indicate the location
and the number of
table and chairs in
shaded area
*Indicate Entrance/Exit
door(s)
Chair Amount
Table Amount
Indicate all light poles, meter poles, signage, trees, planting beds, trash cans, benches that are within the sidewalk and
break area
Feet
Feet
Feet
Curb
Establishment Name
Establishment Address
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