®
MUNICIPALITY OF WATERVILLE
DISPLAY OF MERCHANDISE IN PUBLIC RIGHT-OF-WAY
SIDEWALK CAFÉ PERMIT
PROPERTY OWNER: ________________________________PHONE:________________
ADDRESS: _________________________________________ PHONE: ________________
EMAIL: ____________________________________________________________________
BUSINESS OWNER: _________________________________PHONE: ________________
(IF DIFFERENT FROM PROPERTY OWNER)
ADDRESS: _________________________________________ PHONE: ________________
EMAIL: ____________________________________________________________________
REQUIREMENTS
_____ Certificate of Insurance naming the Municipality as an Additional Insured in the
minimum amounts of $250,000 per person and $750,000 per occurrence with automatic
notification that the certificate is in compliance.
_____ Dimensioned site drawing (attach) describing the area to be used. Area to be used cannot
extend laterally beyond the building frontage and must maintain a minimum of 5’ distance
between the edge of the area in use, as defined by the site plan, and any obstruction.
_____ Narrative description (attach) of manner the described area will be used.
For detailed description of requirements and conditions, refer to Chapter 923, Waterville Codified Ordinances
Permit Fee Amount $__________ Date ___________ Receipt No. _____________
No additional signs or advertising material permitted, area must be kept clean and free of debris.
All permits expire on November 15 of the year issued.
In consideration of the granting of this permit, the applicant does hereby covenant and agree to comply with all
applicable provisions of the Waterville Codified Ordinances, that all statements made in this application are true and
correct and that applicant will comply with all orders of the Municipality of Waterville with respect to this Permit.
Any use in contradiction or to any misrepresentation of information supplied by the applicant shall nullify and void
any authority granted by this Permit.
Applicant _______________________________ Signature _____________________________
Print name
Recommended by: ______________________________________
Date: ________________
Zoning Inspector
Approved by: __________________________________________
Date: ________________
Municipal Administrator
Permit No. _______________
Date Issued: _______________
1
