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2. City of Whitewater

   Application for Outdoor Private Cafe Permit
   312 W. Whitewater Ave
   P.O. Box 178
   Whitewater, WI 53190
   262-473-0500
   www.whitewater-wi.gov

3. Permit Valid July 1st-June 30th

   Application is hereby made for a revocable Outdoor Private Property Cafe Permit to operate an Outdoor Private Property Cafe in accordance with Chapter 5.8 of the City of Whitewater, WI Code of Ordinances

5. Business Information
7. Business Name*
8. Company Name (if different from Business name)
10. Business Address*
12. Mailing Address (if different from Business address)
14. Phone Number*
15. Fax Number
17. Email Address*
19. Directions

    1. Completion of application for and Outdoor Private Property Cafe Permit.
    2. Site Plan Layout (to be reviewed by Neighborhood Services, Fire Department and Police Department).
    3. Description of items to be placed outside (standards are below)
    4. Copy of a current certificate of commercial liability insurance in the amount of at least $100,000 per occurrence. original Certificate of Comprehensive General Liability Insurance for at least $100,000 which names the City of Whitewater as an additional insured and covered area includes the outdoor private property cafe.
    5. A copy of applicable valid Wisconsin Seller's Permit.
    6. A copy of applicable valid Alcohol Beverage License (only if alcohol is to be served).
21. Wisconsin Seller's Permit*
22. Current Certificate of Commercial Liability Insurance*
24. Basic Information
26. Will you be Serving Alcoholic Beverages*

    1. Yes
    2. No

    **If you answered "Yes" you will have to change your Alcohol Beverage License to include the outdoor private property cafe.  Please contact the City Clerk to make the necessary arrangements before Alcoholic Beverages are sold.

27. Alcohol License
29. Site Plan Layout Specifications

    • Must be to Drawn Neatly with Straight Lines and all items Labeled with sizes

    • Must be on 8-1/2" X 11" paper

    • Must depict existing sidewalk area and adjacent private property

    • Must depict proposed sidewalk café with placement of:

    o chairs o tables

    o planters

    o umbrellas

    o other items to be placed in sidewalk café

    • Must depict existing trees, doorways, steps, parking meters, sidewalk benches, trash receptacles, light poles and any other sidewalk obstructions

    • Must show six feet of unobstructed sidewalk for public use

30. Site Plan*
32. Description of Placed items Outside

    • Must have picture or description of all proposed 

    o tables

    o chairs

    o umbrellas

    o barriers (fencing, planters)

    o all other objects to be placed on sidewalk

    • Description or picture must be accompanied by dimensions

33. Description of Items *
35. Application for an Outdoor Private Property Cafe Permit

    In specific consideration for the City granting an outdoor private property cafe permit to the applicant named below, the permit holder shall agree to pay, indemnify and hold harmless the City and their respective agents, guests, invitees and employees from all suits, actions, claims, demands, damages, losses and other reasonable expenses and cost of every kind and description including attorney's fees to which the City, or its officers, agents or employees may be subject to as a result of the grant of this permit.

    I hereby state that I have answered all the preceding questions and that the information contained herein is true and correct to the best of my knowledge and belief.  In addition, that I have read, understand, and will comply with Chapter 5.18, Outdoor Private Property Cafe Permit, and all other applicable laws.

37. Signature of Applicant*
38. Date
    Date
40. City Permit Approved By
41. Date
    Date
45. Official Use Only
47. City Council Approval Date
48. Approval

    1. Approved
    2. Disapproved
50. Comments
52. Police Department Approval Date
53. Approval

    1. Approved
    2. Disapproved
55. Comments
57. Fire Department Approval Date
58. Approval

    1. Approved
    2. Disapproved
60. Comments
62. Neighborhood Services Approval Date
63. Approval

    1. Approved
    2. Disapproved
65. Conditions/Restrictions, Reason for Denial
Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit Submit and Print

* indicates a required field