Sidewalk Use Permit Application Form printable pdf download

Sidewalk Use Permit Application Form

CENTRAL BUSINESS DISTRICT

SIDEWALK USE PERMIT APPLICATION

NAME: _______________________________________________________________

ADDRESS: ____________________________________________________________

PHONE: _______________________________ DATE: _______________________

NAME OF BUSINESS OR ENTITY UTILIZING SIDEWALK:

_____________________________________________________________________________________

HOW WILL THE PARTY IDENTIFIED ABOVE USE THE SIDEWALK? _______________________

_____________________________________________________________________________________

BEGINNING AND ENDING DATE OF PERMITTED SIDEWALK USE:

beginning date - _______________

ending date - _______________

HOURS OF OPERATION OF SIDEWALK USE:

from __________ to __________ week days

from __________ to __________ weekends

LIABILITY INSURANCE CARRIER: ______________________________________________________

AGENT NAME:_________________________________ PHONE:_____________________________

F:\HOME\JLYNCH\PLANNER\MEMOS\SIDEWLKP.DOC

Sidewalk Use Permit Application Form