ON-STREET DINING (CURBSIDE AND IN THE STREET)

Is your business in the City of Los Angeles?

Is the business registered with or is the vendor licensed to operate in the City of Los Angeles?	---
Do you have a Business Tax Registration Certificate (BTRC) number?	---
Is the business a restaurant or a bar?	Restaurant

No-Vending Zones

Is your business in a no-vending zone?

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Curbside Dining

Would you like to apply for curbside dining?

Yes

Dining in the Street

Would you like to apply for dining in the street?

No

Curbside Dining

Address (nearest address to the parking spaces where you would like to set up a dining area)	---
Does the business have a Food Pick-Up Parking Zone?	---
Is there a regular event like a farmers' market near the parking spaces adjacent to your business?	---

Hours of Operation

What days will businesses be operating in the temporary dining area?	---
What times will businesses be operating in the temporary dining area?	---

Alcohol

Will alcohol be served in the temporary outdoor dining area?

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Applicant Contact Information

Establishment, Vendor, or Organization Name	Alfred Coffee Melrose Place
Establishment, Vendor, or Organization Address	---
Applicant First Name	---
Applicant Last Name	---
E-Mail	---
Phone Number	---
I certify that I am the Restaurant / Business Owner / Street Vendor / Organization representative or that I have been authorized by the Restaurant / Business Owner / Organization to enter into this agreement on their behalf	---
Does the restaurant / business owner or majority ownership identify as Black, Indigenous, or a Person of Color (BIPOC)?	No

Applicant Type

Please select the option that best describes the applicant

Individual Business

Publicly-traded

Is this business publicly-traded?

No

Reopening Status

Is the business currently open for sit-down dining?	---
If no, please let us know when you plan to open	---

Other Information

Is there any other information you would like us to know?

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Certification: Insurance

The applicant certifies that each participating business has a minimum $500,000 liability insurance policy and a valid City of Los Angeles business license.	---
The applicant agrees to add the City as an additional insured upon approval of their temporary outdoor dining space	---

Certification: Dining on the Street or in Street Parking

The applicant understands this is an application for temporary authorization. This authorization may be revoked by the City at any time in its sole discretion for any reason including noncompliance, unsafe conditions, or discontinuation of the program.	---
The applicant agrees to defend, indemnify and hold the City of Los Angeles harmless for any loss or liability, including but not limited to, damage or injury related to this temporary authorization.	---
The closure area shall comply with requirements and guidelines from the City of Los Angeles, Los Angeles County Public Health, and all others as applicable.	---
The applicant understands that alcoholic beverages may only be served in the public right-of-way with the approval from the Department of City Planning and the California Department of Alcohol and Beverage Control.	---
A 5-foot wide pedestrian access route shall be maintained for pedestrian access, generally utilizing the most passable portion of the sidewalk.	---
The applicant is responsible for maintaining access to bus stops, building entrances, utilities, fire hydrants.	---
The applicant has notified affected businesses/tenants	---
The applicant must maintain access to all ADA parking	---
The outdoor dining areas shall be maintained in a clean and orderly manner at all times. All food or drink spills, and trash of any kind, must be immediately removed from the dining area.	---

Is Field Verification Required?

Is field verification required?

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Signed Agreement

Please upload a signed copy of your On-Street Dining Agreement

Alfred Coffee_8428 Melrose Pl.pdf

Design Assistance

Are you interested in receiving design and/or landscaping support for your outdoor dining area?

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Please provide information on the elements needed for installation

Number of Planters	---
Number of Barricades	---
Number of K-71 Bollards	---
Number of Umbrellas	---

Installation

Is the outdoor dining area going to be installed?

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Installation date

Outdoor dining area installation date

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