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Outdoor Dining Application -Form Fill

Section One
Q1

Applicant's Name

First Name
Q2

Applicant's Name

Last Name
Q3

Applicant's Phone Number
Q4

Applicant's Email
Q5

Company or Business Name
Q6

Company Location

Street Address
Q7

Company Location

Street Address Line 2
Q8

Company Location

City
Q9

Company Location

State / Province
Q10

Company Location

Postal / Zip Code
Q11

Business Hours Operation

Hour Minutes
Q12

Business Hours Operation

AM/PM Option
Q13

Kindly upload a picture or sketch of the planned expanded area.
Q14

Upload the consent from the property owner.
Q15

Are you going to serve alcohol?
Q16

Are you going to install a tent?
Q17

Number of chairs in the expanded area
Q18

Number of tables in the expanded area
Q19

Date Signed

Date
Q20

Business Owner Signature