Apply for Permit.
Sidewalk Cafe Application
| Select start date |
2022-02-17
|
| Indicate Proposed Cafe Hours (between 8am - 5pm, Monday - Friday) |
test test
|
| Describe proposed sidewalk cafe usage |
eating outside
|
APPLICANT INFORMATION ( Responsible party for permit application).
| Company Name / Permittee |
Catherine Test
|
| Contact Name |
Catherine Geanuracos
|
| Address |
1001 State St, Erie PA 16501-1814
|
| Phone Number |
+14152357240
|
| Emergency phone number |
+14152357240
|
| Email |
[email protected]
|
RESTAURANT INFORMATION (SIDEWALK CAFE)
| Restaurant Name |
My restaurant
|
| Restaurant Address |
1001 State St, Erie PA 16501-1814
|
| Phone Number |
+14152357240
|
| Email |
[email protected]
|
| Business License # |
1234545
|
| Business License Expiration Date |
2022-02-24
|
| Are you the property owner? |
No
|
| Is this a new application or a renewal? |
Renewal
|
SIDEWALK CAFE - Additional required information
PROPERTY OWNER (SIDEWALK CAFE - Responsible Party)
| Property Owner Name |
Ctherin test
|
| Property Owner Address |
1001 N State St, Los Angeles CA
|
| Phone Number |
+14152357240
|
| Email |
[email protected]
|
| Do you wish to upload an approval letter from property owner or request approval via email? |
Request via email
|
AFFIDAVIT - APPLICATION STEP
| I certify that everything included in this application thus far is true/ correct. |
Yes I agree.
|
Permit Standard Requirements Agreement
Applicant affidavit
| APPLICANT’S DECLARATION I hereby apply for a permit to encroach/work in the public right of way at the described location(s) subject to the provisions required by the Municipal Code, the attachments hereon specified, and the provisions above. It is agreed by the Applicant that the City of West Hollywood and any of its officers or employees thereof shall be saved harmless by the Applicant from any liability or responsibility for any accident, loss or damage to persons or property, happening or occurring as the proximate result of any of the work undertaken under the terms of this application and that all of said liability is hereby assumed by the Applicant. I understand that noncompliance with these or other permit conditions may be cause for permit revocation |
I agree.
|
Enter TrakIT number Fee assignment and Restrictions / Conditions
PERMIT TYPE AND NUMBER
| Primary Permit Type |
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|
| Trakit permit number |
345456
|
RESTRICTIONS / CONDITIONS
FEE ASSIGNMENT - SIDEWALK CAFE
| Approved square footage |
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|
| Will alcohol be served? |
---
|
| How many months? (enter 12 for annual fee/ enter smaller number to pro-rate the year) |
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|
| New application or renewal? |
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|
