Sidewalk Cafe - Bruno's Pizza - Laserfiche WebLink

Home Browse Search

DATE Applicant's Legal Name Business Name Address Telephone Number APPLICATION FOR SIDEWALK CAFIIk. PERMIT CITY OF SOUTH BEND, INDIANA Alicia Shea Bruno's Pizza FEE PAID' $ _ NI Title Man 131 S. Michigan Street, South Bend IN 46601 574.234.2222 Proposed Location and Description of Sidewalk Cafe Days of Sidewalk Cafe Operation Hours of Sidewalk Cafe Operation Sun i Mon I Tues I Wed I Thurs I Fri I Sat 11 am-9pm f 11 am-9pm 111 am-9pm 111 am-9pm V 11 am-9pm 111 am-10pnf 11 am-1 The following information is REQUIRED for completion of a Sidewalk Cafd Application: 1. Completed/signed application, including a $10.00 fee 2. Drawing(s) and description of proposed sidewalk cafd showing placement/dimensions of proposed cafd 3. Completed/signed Agreement 4. Certificate of Insurance ($1,000,000/occurance and $300,000/person, naming the City of South Bend as additional insured) AFFIRMATION 1, the undersigned, agree that I will abide by all of the provisions of Section 18-15 of the South Bend Municipal Code and with all the provisions stated above as conditions of the issuance of this Permit. I further agree to indemnify, defend and hold harmless the City of South Bend from any liability, loss, cost, damage or expenses, including attorney fees, which the City may suffer or incur as the result of any use of the public sidewalks for a sidewalk cafd as permitted herein. I do hereby certify and affirm that all the information given in this application is true to the best of my knowledge. 04/08/2019 Date Signature of Applicant Alicia Shea Printed Name Manager Title BOARD OF PUBLIC WORKS APPROVAL President Member Member Member RETURN FORM TO: Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 a Fax: (574) 235-9171 Member Date 4