Fillable Form 5.19: WHITEWATER City of APPLICATION FOR SIDEWALK (City of Whitewater)

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Form 5.19: WHITEWATER City of APPLICATION FOR SIDEWALK (City of Whitewater)

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File type: PDF

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St
r
eet
City
State
Zip
City of
Permit#
_
WHITEWATER
Official Use Only
APPLICATION FOR SIDEWALK
CAFE
PERMIT
PERMIT VALID FROM
JULY
1sT
-JUNE
30TH
APPLICATION
IS
HEREBY
MADE
FOR
A
REVOCABLE
SIDEWALK
CAFE
PERMIT
TO
OPERATE
A SIDEWALK
CAFE
IN
ACCORDANCE
WITH
CHAPTER
5.19
OF THE
CITY
OF WHITEWATER, WI
CODE
OF
ORDINANCES
BUSINESS
INFORMATION
Business Name:
Company
Name:
Business
Addres
s
:
Street City
S
tat
e
Zip
Mailing
Address:
Street
City
State
Zip
Business Phone:
Current Zoning
Classification:
_
APPLICANT
INFORMATION
Name:
Titl
e
:
First Middle
L
ast
Home Address
:
Phone:
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 Sidewalk Cafe
Permit
o Site Plan Layout ( to be
reviewed
by
Neighborhood Services, 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 sidewalk
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
sidewalk 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
•
Must depict existing sidewalk area and adjacent private
property
•
Mu
s
t
depict proposed sidewalk cafe with placement of
:
o
chairs
o
table
s
o
plante
r
s
o
umbrella
s
o other items
to be placed in sidewalk
cafe
•
Mu
s
t
depict existing
tre
e
s,
doorwa
ys
,
s
te
p
s
,
parking
meter
s
,
sidewalk
benches,
tra
s
h
receptacles, light
poles and any other sidewalk
obstruction
s
•
Mu
s
t
show 4 feet of
unobstructed
sidewalk for public
u
s
e
DESCRIPTION
OF
PLACED
ITEMS OUTSIDE
•
Mu
s
t
have
picture
or
de
s
cription
of all
proposed
o
table
s
o
chair
s
o
umbrella
s
o barriers
(
fencing,
plant
e
rs
)
o all other objects to be placed on
sidewalk
•
Description or picture must be accompanied by
dimen
s
ions
APPLICATION FOR
A
SIDEWALK CAFE
PERMIT
In specific
consideration
for the City granting a sidewalk 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
attorney's
fees to which the
Cit
y
,
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 5.19, Sidewalk 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 Disapproved
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 5.19: WHITEWATER City of APPLICATION FOR SIDEWALK (City of Whitewater)

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Completed 17 July 2020

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