Fillable Form 5.18: WHITEWATER City of APPLICATION FOR PRIVATE (City of Whitewater)

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Form 5.18: WHITEWATER City of APPLICATION FOR PRIVATE (City of Whitewater)

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File type: PDF

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First
M
i
dd
l
e Last
Street
C
i
ty
State Z
i
p
City
of
Permit#
_
WHITEWATER
Official Use
Only
APPLICATION FOR
OUTDOOR
PRIVATE PROPERTY CAFE
PERMIT
PERMIT VALID FROM
JULY
1sT- JUNE
30TH
APPLICATION
IS
HEREBY
MADE FOR A
REVOCABLE
OUTDOOR
PRIVATE PROPERTY CAFE
PERMIT
TO
OPERATE
AN OUTDOOR
PRIVATE PROPERTY CAFE
IN
ACCORDANCE
WITH
CHAPTER
5.18
OF THE
CITY
OF
WHITEWATER,
WI
CODE
OF
ORDINANCES
BUSINESS
INFORMATION
Business
Name
:
Company
Name
:
Business
Addre
ss:
Street
C
i
ty
State
Z
ip
Mailing
Address:
Street
C
it
y
State
Z
ip
Business Phone:
Current Zoning
Classification
:
_
APPLICANT
INFORMATION
Name
:
Title
:
Home Address
:
Phon
e
:
E-Mail
:
cell phone
:
_
DIRECTIONS
Bring the following
to
the
Department
of Public Works
window located
on the second floor
of
the
Whitewater Municipal
Center on 312 W.
Whitewater
Street
,
Whitewater,
WI
53190
:
o
Completion
of
Application
for an
Outdoor Private Property
Cafe
Permit
o Site Plan Layout (to be
reviewed
by
Neighborhood
Service
s,
Fire
Department
and
Police
Department
)
.
o Description of items to be placed outside (standards are on next page)
o Copy of a current certificate
of commercial liability insurance in the amount of at least
$100,000
per occurrence. Original Certificate of Comprehensive General
Liability
Insurance for at least
$100,000
which names the City of
Whitewater
as
additional
insured and covered area includes the
outdoor
private
property cafe
o A copy of applicable valid Wisconsin Seller
'
s
Permit
o A copy of applicable valid Alcohol Beverage License (only if alcohol is to be
served)
BASIC
INFORMATION
**WILL
YOU BE SERVING ALCOHOLIC
BEVERAGES? Yes
No
**If you answered
"Yes"
you
will
have to change your Alcohol Beverage
License
to include
the
outdoor private property cafe. Please contact the City
Clerk
to make the
necessary
arrangements
before Alcoholic Beverages can be
sold.
SITE PLAN LAYOUT SPECIFICATIONS
•
Must be to Drawn Neatly with Straight Lines and all items Labeled with sizes
•
Must be on
8-1/2"
X
11"
paper
•
Mu
s
t
depict existing sidewalk area and adjacent private
property
•
Must depict proposed
outdoor
private
property
cafe with placement
of:
o
chairs
o
tables
o
plante
r
s
o
umbrellas
o other items to be placed in
outdoor
private
property cafe
•
Must depict existing
tre
e
s
,
doorway
s
,
s
teps,
parking
mete
r
s
,
sidewalk benches,
trash
receptacles, light poles and any other
obstructions
•
Mu
s
t
show 4 feet of
unob
s
tructe
d
s
idewalk
for public use
DESCRIPTION
OF
PLACED
ITEMS OUTSIDE
•
Mu
s
t
have picture or de
s
criptio
n
of all
propo
s
ed
o
tables
o chairs
o
umbrella
s
o barriers
(
fencing, planters)
o all other objects to be placed on
sidewalk
•
Description or picture
mu
s
t
be accompanied by
dimensions
APPLICATION FOR
AN OUTDOOR
PRIVATE PROPERTY CAFE
PERMIT
In specific
consideration
for the City granting an
outdoor
private
property
cafe permit to
the
applicant named
below
,
the
permit
holder shall agree to pay,
indemnify
and hold harmless
the
City and their respective agents, guests, invitees and employees from all suits, actions, claims,
demands, damages, losses and other reasonable expenses and cost of every kind
and
description including attorne
y
'
s
fees to which the
City
,
or its
officers, agents
or employees
may
be subject to as a result of the grant
of this permit.
I
hereby state that
I
have answered all of the preceding questions and that the
information
contained
herein is true and correct to the best of my knowledge and belief. In addition, that
I
have read, understand and will comply with Chapter 5
.
18
,
Outdoor Private Property Cafe
Permit, and all other applicable laws.
Signature of
Applicant
Date
City Permit Approved By
Date
Print
Name
OFFICIAL USE
ONLY
City Council Approval
.
Date
(circle one) Approved
Di
s
approved
Comments:
To be filled out by Police
Department.
Date (circle one) Approved
Disapproved
To be filled out by
Neighborhood
Services Director (circle one)
Approved
Date
_
Disapproved
Conditions/Restrictions/Reason
for
Denial
:
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Form 5.18: WHITEWATER City of APPLICATION FOR PRIVATE (City of Whitewater)

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Completed 17 July 2020

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